Smith, Michael Washburn

Smith, Michael Washburn is an individual health care provider with primary practice located at 3145 W Clark Rd Suite 201, Ypsilanti MI 48197-1120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Smith, Michael Washburn can be contacted via phone (734) 528-5700.

Contact Information

Primary practice address
3145 W Clark Rd Suite 201 Ypsilanti MI 48197-1120
Phone: (734) 528-5700
Fax: (734) 572-9100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MS029991 Michigan

Profile Details

NPI number 1043351356
LBN Legal business name Smith, Michael Washburn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Sep 10th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043351356 NPPES
Michigan Other 0H10528 BCBS
Michigan MEDICAID 1043351356 BCBS

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