Smith, Craig M
Smith, Craig M is an individual health care provider with primary practice located at 5959 N Discovery Place , Boise ID 83713-1556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Smith, Craig M can be contacted via phone (208) 367-5095.Contact Information
Primary practice address
5959 N Discovery Place
Boise ID 83713-1556
Phone: (208) 367-5095
Fax: (208) 367-5099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | M-12444 | Idaho |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 4025 | South Dakota |
Profile Details
| NPI number | 1881629202 |
|---|---|
| LBN Legal business name | Smith, Craig M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Apr 15th, 2015 - about 10 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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