Smith, David R
Smith, David R is an individual health care provider with primary practice located at 33 East Chestnut Hill Ave Suite 201, Phila PA 19118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, David R can be contacted via phone (215) 247-0900.Contact Information
Primary practice address
33 East Chestnut Hill Ave Suite 201
Phila PA 19118
Phone: (215) 247-0900
Fax: (215) 247-7696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD041843L | Pennsylvania |
Profile Details
| NPI number | 1619909942 |
|---|---|
| LBN Legal business name | Smith, David R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Oct 19th, 2012 - about 14 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 | 1619909942 | NPPES |
| Pennsylvania | MEDICAID | 0006744190004 |
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