Smith, Jeremy Scott
Smith, Jeremy Scott is an sole proprietor health care provider with primary practice located at 3614 N University Dr , Nacogdoches TX 75965-2539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Smith, Jeremy Scott can be contacted via phone (936) 205-9922.Contact Information
Primary practice address
3614 N University Dr
Nacogdoches TX 75965-2539
Phone: (936) 205-9922
Fax: (936) 205-9923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M0573 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M0573 | Texas |
Profile Details
| NPI number | 1275594848 |
|---|---|
| LBN Legal business name | Smith, Jeremy Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Nov 27th, 2018 - about 8 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 | 1275594848 | NPPES |
| Texas | MEDICAID | 1748816-06 |
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