Smith, Brian K

Smith, Brian K is an individual health care provider with primary practice located at 4401 Harrison Boulevard Mckay Dee Hospital, Ogden UT 84403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Smith, Brian K can be contacted via phone (801) 507-5248.

Contact Information

Primary practice address
4401 Harrison Boulevard Mckay Dee Hospital Ogden UT 84403
Phone: (801) 507-5248
Fax: (801) 733-5618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 30-82898-1205 Utah

Profile Details

NPI number 1093825630
LBN Legal business name Smith, Brian K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 15th, 2012 - about 14 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 1093825630 NPPES
Wyoming MEDICAID 116283700
Wyoming Other 870545614SMT
Wyoming Other 1502954
Wyoming Other 526920
Wyoming Other 57972
Wyoming Other 704
Wyoming MEDICAID 805975100
Wyoming MEDICAID 822165
Wyoming Other QM0000075886
Wyoming MEDICAID 100501277
Wyoming Other 107008901101
Wyoming Other 2090168
Wyoming Other 30828981200001
Wyoming Other TPRA07387

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