Smith, Joseph Phillip

Smith, Joseph Phillip is an individual health care provider with primary practice located at 85 Bolinas Rd Ste 2 , Fairfax CA 94930. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Smith, Joseph Phillip can be contacted via phone (415) 459-4411.

Contact Information

Primary practice address
85 Bolinas Rd Ste 2 Fairfax CA 94930
Fax: (415) 226-0450
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 29581 California
Chiropractic Providers / Chiropractor 111N00000X 761 North Dakota

Profile Details

NPI number 1760661920
LBN Legal business name Smith, Joseph Phillip
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2007
Last updated Aug 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760661920 NPPES
North Dakota Other SMI 25763 BLUE CROSS BLUE SHIELD

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