Smith, Michael Patrick

Smith, Michael Patrick is an individual health care provider with primary practice located at 1521 Technology Drive , Chesapeake VA 23320-5974. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Smith, Michael Patrick can be contacted via phone (757) 548-5656.

Contact Information

Primary practice address
1521 Technology Drive Chesapeake VA 23320-5974
Phone: (757) 548-5656
Fax: (757) 548-5657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1528376787
LBN Legal business name Smith, Michael Patrick
Credentials C.P.O.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2010
Last updated Sep 21st, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528376787 NPPES
Virginia Other 072347 ANTHEM
Virginia Other 12167 ANTHEM
Virginia Other 0648230002 ANTHEM
Virginia MEDICAID 9110208 ANTHEM

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