Smith, Peter Trent

Smith, Peter Trent is an sole proprietor health care provider with primary practice located at 3410 E 12 Mile Rd Ste B , Warren MI 48092-2593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Smith, Peter Trent can be contacted via phone (586) 588-5020.

Contact Information

Primary practice address
3410 E 12 Mile Rd Ste B Warren MI 48092-2593
Fax: (586) 920-2503
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301053454 Michigan

Profile Details

NPI number 1750458386
LBN Legal business name Smith, Peter Trent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Aug 1st, 2022 - about 4 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 1750458386 NPPES
Michigan MEDICAID 3044214

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