Smith, Stephanie Dora

Smith, Stephanie Dora is an individual health care provider with primary practice located at 245 Cherry St Se Suite 204, Grand Rapids MI 49503-4607. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Smith, Stephanie Dora can be contacted via phone (616) 685-3330.

Contact Information

Primary practice address
245 Cherry St Se Suite 204 Grand Rapids MI 49503-4607
Phone: (616) 685-3330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704272685 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704272685 Michigan

Profile Details

NPI number 1417208463
LBN Legal business name Smith, Stephanie Dora
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2012
Last updated Oct 27th, 2014 - about 12 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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