Smith, John

Smith, John is an sole proprietor health care provider with primary practice located at 245 N Centennial Way , Mesa AZ 85201-6702. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smith, John can be contacted via phone (602) 908-7904.

Contact Information

Primary practice address
245 N Centennial Way Mesa AZ 85201-6702
Phone: (602) 908-7904
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10251 Arizona

Profile Details

NPI number 1861924722
LBN Legal business name Smith, John
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2017
Last updated Mar 30th, 2017 - about 9 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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