Smith, Daniel Douglas

Smith, Daniel Douglas is an sole proprietor health care provider with primary practice located at 1701 N Senate Blvd , Indianapolis IN 46202-1239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Smith, Daniel Douglas can be contacted via phone (317) 962-3886.

Contact Information

Primary practice address
1701 N Senate Blvd Indianapolis IN 46202-1239
Phone: (317) 962-3886
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X K6336 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01083651A Indiana

Profile Details

NPI number 1255320834
LBN Legal business name Smith, Daniel Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated Feb 17th, 2021 - about 4 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 1255320834 NPPES
Texas Other 8N2614 BCBS
Texas MEDICAID 029831701 BCBS
Texas MEDICAID 029831702 BCBS

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