Smith, Jeffry Michael
Smith, Jeffry Michael is an individual health care provider with primary practice located at 4109 Altama Ave , Brunswick GA 31520-3636. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Smith, Jeffry Michael can be contacted via phone (912) 264-2424.Contact Information
Primary practice address
4109 Altama Ave
Brunswick GA 31520-3636
Phone: (912) 264-2424
Fax: (912) 264-2911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2236 | Georgia |
Profile Details
| NPI number | 1144382169 |
|---|---|
| LBN Legal business name | Smith, Jeffry Michael |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Oct 1st, 2011 - about 15 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 | 1144382169 | NPPES |
| Georgia | MEDICAID | 000654794A | |
| Georgia | Other | 157407700 |
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