Smith, Todd

Smith, Todd is an individual health care provider with primary practice located at 7 South Hospital Drive , Murphysboro IL 62966-3333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Todd can be contacted via phone (618) 687-3418.

Contact Information

Primary practice address
7 South Hospital Drive Murphysboro IL 62966-3333
Phone: (618) 687-3418
Fax: (618) 687-1859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036111462 Illinois

Profile Details

NPI number 1760426316
LBN Legal business name Smith, Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 11th, 2010 - about 15 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 1760426316 NPPES
Illinois MEDICAID 370966854002
Illinois Other CF3444
Illinois MEDICAID 036111462

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