Smith, David Earl

Smith, David Earl is an sole proprietor health care provider with primary practice located at 3240 Irvin Cobb Dr , Paducah KY 42003-0337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, David Earl can be contacted via phone (270) 443-9474.

Contact Information

Primary practice address
3240 Irvin Cobb Dr Paducah KY 42003-0337
Fax: (270) 443-9477
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36603 Kentucky

Profile Details

NPI number 1912903741
LBN Legal business name Smith, David Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Nov 21st, 2014 - about 12 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 1912903741 NPPES
Kentucky MEDICAID 64035058

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