Smith, Justin Luke
Smith, Justin Luke is an individual health care provider with primary practice located at 850 W Ironwood Dr Ste 202 , Coeur D Alene ID 83814-4903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Smith, Justin Luke can be contacted via phone (208) 664-2175.Contact Information
Primary practice address
850 W Ironwood Dr Ste 202
Coeur D Alene ID 83814-4903
Phone: (208) 664-2175
Fax: (208) 664-1226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | O-1354 | Idaho |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | OS020063 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | O-1354 | Idaho |
Profile Details
| NPI number | 1396162178 |
|---|---|
| LBN Legal business name | Smith, Justin Luke |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2014 |
| Last updated | Dec 5th, 2023 - about 3 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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