Smith, Samuel

Smith, Samuel is an individual health care provider with primary practice located at 1 Childrens Way # 653 , Little Rock AR 72202-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Smith, Samuel can be contacted via phone (501) 364-1100.

Contact Information

Primary practice address
1 Childrens Way # 653 Little Rock AR 72202-3500
Phone: (501) 364-1100
Fax: (501) 364-4082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X C-5848 Arkansas

Profile Details

NPI number 1124118799
LBN Legal business name Smith, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 6th, 2020 - about 6 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 1124118799 NPPES
Arkansas Other 55251 BLUE CROSS BLUE SHIELD
Arkansas Other C5848 BLUE CROSS BLUE SHIELD
Arkansas MEDICAID 121199001 BLUE CROSS BLUE SHIELD
Arkansas Other 020033263 BLUE CROSS BLUE SHIELD
Arkansas Other 12039000000 BLUE CROSS BLUE SHIELD

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