Smith, Danita

Smith, Danita is an sole proprietor health care provider with primary practice located at 224 N Highway 67 St Suite 252, Florissant MO 63031-5904. She recently has 2 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Nursing Service Providers / Ambulatory Care. Laboratories / Clinical Medical Laboratory is her primary health care specialty. Smith, Danita can be contacted via phone (314) 942-3272.

Contact Information

Primary practice address
224 N Highway 67 St Suite 252 Florissant MO 63031-5904
Fax: (314) 584-2205
Website:

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X Missouri
Nursing Service Providers / Ambulatory Care 163WP2201X 152662 Missouri

Profile Details

NPI number 1821534298
LBN Legal business name Smith, Danita
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2017
Last updated Nov 17th, 2021 - about 5 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 1821534298 NPPES
Missouri MEDICAID 1080096

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