Smith, Carl David
Smith, Carl David is an individual health care provider with primary practice located at 974 73Rd St Suite 25, Windsor Heights IA 50312-1024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Carl David can be contacted via phone (515) 223-2383.Contact Information
Primary practice address
974 73Rd St Suite 25
Windsor Heights IA 50312-1024
Phone: (515) 223-2383
Fax: (515) 225-8679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 23120 | Iowa |
Profile Details
| NPI number | 1306843156 |
|---|---|
| LBN Legal business name | Smith, Carl David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306843156 | NPPES |
| Iowa | MEDICAID | 1240275 |
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