Smith, Noah Robert

Smith, Noah Robert is an individual health care provider with primary practice located at 3935 N Lightning Dr , Appleton WI 54913-6717. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Smith, Noah Robert can be contacted via phone (920) 968-1790.

Contact Information

Primary practice address
3935 N Lightning Dr Appleton WI 54913-6717
Phone: (920) 968-1790
Fax: (920) 968-1794
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 4301100701 Michigan
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301100701 Michigan

Profile Details

NPI number 1972863389
LBN Legal business name Smith, Noah Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2012
Last updated Feb 12th, 2024 - about 2 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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