Smith, Jared B

Smith, Jared B is an individual health care provider with primary practice located at 19550 E 39Th St S Ste 325, Independence MO 64057-2303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Smith, Jared B can be contacted via phone (816) 373-4646.

Contact Information

Primary practice address
19550 E 39Th St S Ste 325 Independence MO 64057-2303
Phone: (816) 373-4646
Fax: (816) 373-7831
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2007007789 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL-308 Colorado

Profile Details

NPI number 1710033493
LBN Legal business name Smith, Jared B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 10th, 2024 - about last year

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 1710033493 NPPES
Other 250766 HEALTHLINK
MEDICAID 207308305 HEALTHLINK
Other P00453853 HEALTHLINK

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