Smoot, Ernest Clyde

Smoot, Ernest Clyde is an individual health care provider with primary practice located at 4150 Nelson Rd Bldg. A, Ste. 2, Lake Charles LA 70605-4148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Smoot, Ernest Clyde can be contacted via phone (337) 478-5577.

Contact Information

Primary practice address
4150 Nelson Rd Bldg. A, Ste. 2 Lake Charles LA 70605-4148
Phone: (337) 478-5577
Fax: (337) 478-5588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 12854R Louisiana

Profile Details

NPI number 1790756039
LBN Legal business name Smoot, Ernest Clyde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Sep 27th, 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 1790756039 NPPES
Louisiana MEDICAID 1978671

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