Smith, David
Smith, David is an individual health care provider with primary practice located at 111 2Nd St S , Sartell MN 56377-1917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Smith, David can be contacted via phone (320) 281-3339.Contact Information
Primary practice address
111 2Nd St S
Sartell MN 56377-1917
Phone: (320) 281-3339
Fax: (320) 251-6942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 47571 | Minnesota |
Profile Details
| NPI number | 1720016124 |
|---|---|
| LBN Legal business name | Smith, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Apr 7th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720016124 | NPPES |
| Minnesota | MEDICAID | 173436900 |
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