Smith, Brian Daniel

Smith, Brian Daniel is an individual health care provider with primary practice located at 909 Wilson Rd Rm B119 , East Lansing MI 48824-6410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Smith, Brian Daniel can be contacted via phone (517) 353-3070.

Contact Information

Primary practice address
909 Wilson Rd Rm B119 East Lansing MI 48824-6410
Phone: (517) 353-3070
Fax: (517) 884-1817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301081727 Michigan
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 4301081727 Michigan

Profile Details

NPI number 1629052790
LBN Legal business name Smith, Brian Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jun 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629052790 NPPES
Michigan MEDICAID 1629052790

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