Smith, Robert Lee

Smith, Robert Lee is an sole proprietor health care provider with primary practice located at 1105 6Th St , Traverse City MI 49684-2349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Smith, Robert Lee can be contacted via phone (231) 947-0673.

Contact Information

Primary practice address
1105 6Th St Traverse City MI 49684-2349
Fax: (801) 740-2847
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301084020 Michigan

Profile Details

NPI number 1972711653
LBN Legal business name Smith, Robert Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2007
Last updated Jul 27th, 2021 - 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 1972711653 NPPES
Michigan MEDICAID 1972711653

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