Smith, Michael J
Smith, Michael J is an individual health care provider with primary practice located at 714 W Hamilton Ave , Eau Claire WI 54701-6937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Smith, Michael J can be contacted via phone (715) 830-9990.Contact Information
Primary practice address
714 W Hamilton Ave
Eau Claire WI 54701-6937
Phone: (715) 830-9990
Fax: (715) 830-9995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 33571 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33571 | Wisconsin |
Profile Details
| NPI number | 1740240076 |
|---|---|
| LBN Legal business name | Smith, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Mar 11th, 2022 - 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 | 1740240076 | NPPES |
| Wisconsin | MEDICAID | 31849300 |
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