Smith, Daniel R
Smith, Daniel R is an individual health care provider with primary practice located at 978 Euclid Ave , Carbondale CO 81623-1839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Daniel R can be contacted via phone (970) 963-3350.Contact Information
Primary practice address
978 Euclid Ave
Carbondale CO 81623-1839
Phone: (970) 963-3350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 44181 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31675 | Colorado |
Profile Details
| NPI number | 1245225093 |
|---|---|
| LBN Legal business name | Smith, Daniel R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Jan 8th, 2015 - about 11 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 | 1245225093 | NPPES |
| Colorado | MEDICAID | 01316751 |
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