Smith, Melanie
Smith, Melanie is an individual health care provider with primary practice located at 2300 Hospital Dr Suite 200, Bossier City LA 71111-2394. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith, Melanie can be contacted via phone (318) 212-7830.Contact Information
Primary practice address
2300 Hospital Dr Suite 200
Bossier City LA 71111-2394
Phone: (318) 212-7830
Fax: (318) 212-7835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 024826 | Louisiana |
Profile Details
| NPI number | 1659317410 |
|---|---|
| LBN Legal business name | Smith, Melanie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Dec 24th, 2007 - about 19 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 | 1659317410 | NPPES |
| Louisiana | MEDICAID | 1155268 |
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