Smith, Peter

Smith, Peter is an individual health care provider with primary practice located at 1000 Oakland Dr , Kalamazoo MI 49008-1284. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Smith, Peter can be contacted via phone (269) 337-4400.

Contact Information

Primary practice address
1000 Oakland Dr Kalamazoo MI 49008-1284
Phone: (269) 337-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301046193 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301046193 Michigan

Profile Details

NPI number 1770531246
LBN Legal business name Smith, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jun 29th, 2020 - about 6 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 1770531246 NPPES
Michigan MEDICAID 104075402

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