Smith, Jeffrey D

Smith, Jeffrey D is an sole proprietor health care provider with primary practice located at 4170 Cedar Bluff Dr , Petoskey MI 49770-7627. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Smith, Jeffrey D can be contacted via phone (231) 487-2230.

Contact Information

Primary practice address
4170 Cedar Bluff Dr Petoskey MI 49770-7627
Phone: (231) 487-2230
Fax: (231) 487-6172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 4301059444 Michigan
Other Service Providers / Specialist 174400000X 204149 Massachusetts

Profile Details

NPI number 1144203175
LBN Legal business name Smith, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2005
Last updated Apr 28th, 2021 - about 5 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 1144203175 NPPES
Michigan MEDICAID 1144203175
Michigan MEDICAID 3208079

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