Smith, Michael J

Smith, Michael J is an individual health care provider with primary practice located at 11400 Julianne Ave N , Stillwater MN 55082-9436. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Smith, Michael J can be contacted via phone (612) 454-2401.

Contact Information

Primary practice address
11400 Julianne Ave N Stillwater MN 55082-9436
Phone: (612) 454-2401
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2206 New Hampshire
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 303094 Minnesota

Profile Details

NPI number 1043436942
LBN Legal business name Smith, Michael J
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jul 23rd, 2014 - about 11 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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