Smith, Roger Douglas
Smith, Roger Douglas is an individual health care provider with primary practice located at 1051 N Canton Center Rd , Canton MI 48187-5097. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Smith, Roger Douglas can be contacted via phone (348) 445-2897.Contact Information
Primary practice address
1051 N Canton Center Rd
Canton MI 48187-5097
Phone: (348) 445-2897
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301059897 | Michigan |
Profile Details
| NPI number | 1154418937 |
|---|---|
| LBN Legal business name | Smith, Roger Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Nov 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154418937 | NPPES |
| Michigan | MEDICAID | 4643063 |
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