Smith, Michael J
Smith, Michael J is an individual health care provider with primary practice located at 2 Technology Park Dr , Bourne MA 02532-8341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Michael J can be contacted via phone (508) 743-9543.Contact Information
Primary practice address
2 Technology Park Dr
Bourne MA 02532-8341
Phone: (508) 743-9543
Fax: (508) 743-8335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 223770 | New York |
Profile Details
| NPI number | 1306830484 |
|---|---|
| LBN Legal business name | Smith, Michael J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306830484 | NPPES |
| New York | MEDICAID | 02769928 | |
| New York | Other | 223770 |
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