Smith, Patrick Brent
Smith, Patrick Brent is an individual health care provider with primary practice located at 803 1St St , Cleveland MS 38732-2309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Patrick Brent can be contacted via phone (662) 843-2721.Contact Information
Primary practice address
803 1St St
Cleveland MS 38732-2309
Phone: (662) 843-2721
Fax: (662) 846-1728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21265 | Mississippi |
Profile Details
| NPI number | 1205065810 |
|---|---|
| LBN Legal business name | Smith, Patrick Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2009 |
| Last updated | Sep 5th, 2014 - about 12 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 | 1205065810 | NPPES |
| Mississippi | MEDICAID | 05402200 |
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