Smith, Jeremy Keith

Smith, Jeremy Keith is an individual health care provider with primary practice located at 170 Manning Dr Physicians Office Bldg Cb# 7594, Chapel Hill NC 27599-7594. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Smith, Jeremy Keith can be contacted via phone (919) 966-6442.

Contact Information

Primary practice address
170 Manning Dr Physicians Office Bldg Cb# 7594 Chapel Hill NC 27599-7594
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 209737 North Carolina

Profile Details

NPI number 1285015990
LBN Legal business name Smith, Jeremy Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2015
Last updated Jun 18th, 2015 - about 11 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 1285015990 NPPES
North Carolina Other 209737 NORTH CAROLINA MEDICAL BOARD

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