Smith, Nicholas David
Smith, Nicholas David is an individual health care provider with primary practice located at 1525 E Beltline Ave Ne Ste 101 , Grand Rapids MI 49525-4598. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Smith, Nicholas David can be contacted via phone (616) 363-7879.Contact Information
Primary practice address
1525 E Beltline Ave Ne Ste 101
Grand Rapids MI 49525-4598
Phone: (616) 363-7879
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 5501011228 | Michigan |
Profile Details
| NPI number | 1255533014 |
|---|---|
| LBN Legal business name | Smith, Nicholas David |
| Credentials | M.S.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1255533014 | NPPES |
| Michigan | MEDICAID | 3343400 |
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