Smith, Nancy Lynn
Smith, Nancy Lynn is an sole proprietor health care provider with primary practice located at 1356 Shermer Rd , Northbrook IL 60062-4581. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Smith, Nancy Lynn can be contacted via phone (847) 272-0073.Contact Information
Primary practice address
1356 Shermer Rd
Northbrook IL 60062-4581
Phone: (847) 272-0073
Fax: (847) 272-2138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1164595195 |
|---|---|
| LBN Legal business name | Smith, Nancy Lynn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1164595195 | NPPES |
| Illinois | MEDICAID | 102702 | |
| Illinois | MEDICAID | 1004878 | |
| Illinois | MEDICAID | 102630 |
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