Smith, Stephen Gerard

Smith, Stephen Gerard is an sole proprietor health care provider with primary practice located at 7555 Decatur Rd Lot 128 , Fort Wayne IN 46816-3349. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Smith, Stephen Gerard can be contacted via phone (260) 348-4418.

Contact Information

Primary practice address
7555 Decatur Rd Lot 128 Fort Wayne IN 46816-3349
Phone: (260) 348-4418
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 32001573A Indiana

Profile Details

NPI number 1659535755
LBN Legal business name Smith, Stephen Gerard
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2008
Last updated Jul 17th, 2008 - about 18 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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