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Contact Information

JOHN T SMALL, MD
3802 KY-321
HAGGERHILL, KY41222
 Phone: 606-297-1644
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JOHN T SMALL · (Male)

NPI # 1619948692
Status Active
Credentials MD
Entity Individual
Enumeration date 01/30/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 21474
  • KY Medicaid 64072978
  • OH Medicaid 2624324
  • WV Medicaid 3810004017
  • KY Other 000000377498 BLUECROSS BLUESHIELD
  • KY Other 5490 MEDICARE GROUP
  • WV Other 1069188 BRICKSTREET
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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