Smith, Robert
Smith, Robert is an individual health care provider with primary practice located at 740 Medical Center Dr , West Point MS 39773-9317. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Smith, Robert can be contacted via phone (662) 494-8500.Contact Information
Primary practice address
740 Medical Center Dr
West Point MS 39773-9317
Phone: (662) 494-8500
Fax: (662) 494-8488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 10838 | Mississippi |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10838 | Mississippi |
Profile Details
| NPI number | 1003981879 |
|---|---|
| LBN Legal business name | Smith, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Sep 18th, 2012 - 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 | 1003981879 | NPPES |
| Mississippi | Other | 113650710 | BCBS |
| Mississippi | MEDICAID | 00019424 | BCBS |
| Mississippi | MEDICAID | 02530579 | BCBS |
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