Smith, Trek Robert

Smith, Trek Robert is an individual health care provider with primary practice located at 1919 Glynn Ave Ste 8 , Brunswick GA 31520-6140. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Smith, Trek Robert can be contacted via phone (912) 466-9945.

Contact Information

Primary practice address
1919 Glynn Ave Ste 8 Brunswick GA 31520-6140
Fax: (912) 280-9490
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIR005737 Georgia

Profile Details

NPI number 1154346187
LBN Legal business name Smith, Trek Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jun 22nd, 2011 - 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 1154346187 NPPES
Georgia MEDICAID 00849098A

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