Smith, Dean A

Smith, Dean A is an individual health care provider with primary practice located at 13060 Isle Dr , Baxter MN 56425-8331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Smith, Dean A can be contacted via phone (218) 828-2880.

Contact Information

Primary practice address
13060 Isle Dr Baxter MN 56425-8331
Phone: (218) 828-2880
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 6930A Wyoming
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 51280 Minnesota

Profile Details

NPI number 1629017249
LBN Legal business name Smith, Dean A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 15th, 2016 - about 9 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 1629017249 NPPES
Wyoming Other 312449 BLUE CROSS BLUE SHIELD
Wyoming MEDICAID 1188372-00 BLUE CROSS BLUE SHIELD

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