Smith, Robert Weston
Smith, Robert Weston is an individual health care provider with primary practice located at 2080 Woodwinds Drive #240, Woodbury MN 55125. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Smith, Robert Weston can be contacted via phone (651) 702-0750.Contact Information
Primary practice address
2080 Woodwinds Drive #240
Woodbury MN 55125
Phone: (651) 702-0750
Fax: (651) 702-0749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 28993 | Minnesota |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 28993 | Minnesota |
Profile Details
| NPI number | 1104862465 |
|---|---|
| LBN Legal business name | Smith, Robert Weston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Nov 20th, 2009 - about 16 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 | 1104862465 | NPPES |
| Minnesota | MEDICAID | 0400000206 |
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