Smith, Scott D
Smith, Scott D is an individual health care provider with primary practice located at 12 Upper Ragsdale Dr , Monterey CA 93940-5730. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Smith, Scott D can be contacted via phone (831) 648-7200.Contact Information
Primary practice address
12 Upper Ragsdale Dr
Monterey CA 93940-5730
Phone: (831) 648-7200
Fax: (831) 648-7204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E4377 | California |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E4377 | California |
Profile Details
| NPI number | 1205994423 |
|---|---|
| LBN Legal business name | Smith, Scott D |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Aug 4th, 2021 - about 5 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 | 1205994423 | NPPES |
| California | MEDICAID | 000E43770 |
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