Smith, Joshua Michael

Smith, Joshua Michael is an individual health care provider with primary practice located at 3910 Washington Pkwy , Idaho Falls ID 83404-7596. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Smith, Joshua Michael can be contacted via phone (208) 523-1122.

Contact Information

Primary practice address
3910 Washington Pkwy Idaho Falls ID 83404-7596
Phone: (208) 523-1122
Fax: (208) 523-2582
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30283 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 63960 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N8989 Texas
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X N8989 Texas
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X M13504 Idaho

Profile Details

NPI number 1154528727
LBN Legal business name Smith, Joshua Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Sep 2nd, 2021 - about 5 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 1154528727 NPPES
Idaho MEDICAID 1154528727
Idaho MEDICAID 312219409
Idaho MEDICAID 312219410

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