Smith, Rick Joel

Smith, Rick Joel is an sole proprietor health care provider with primary practice located at 1504 E Grand River Ave Suite100, East Lansing MI 48823-4921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, which is considered as his primary health care specialty. Smith, Rick Joel can be contacted via phone (517) 908-3040.

Contact Information

Primary practice address
1504 E Grand River Ave Suite100 East Lansing MI 48823-4921
Phone: (517) 908-3040
Fax: (517) 908-0856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 4301051137 Michigan

Profile Details

NPI number 1104934603
LBN Legal business name Smith, Rick Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2006
Last updated May 2nd, 2019 - about 7 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 1104934603 NPPES
Michigan Other 13 00007 PHP OF MID MICHIGAN
Michigan Other 13 70017 PHP OF MID MICHIGAN
Michigan Other 2403303571 PHP OF MID MICHIGAN
Michigan MEDICAID 3160115 PHP OF MID MICHIGAN

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