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Contact Information

CC SMITH MD INC
1200 PROSPECT ST
STE 200
SANDUSKY, OH44870
 Phone: 419-621-5780
 Fax: 419-621-5791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CC SMITH MD INC · (Female)

NPI # 1922092592
Status Active
Credentials
Entity Individual
Enumeration date 09/09/2005
Last updated 06/04/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 2817643
  • Other 7679166 AETNA
  • Other 5380 PARAMOUNT
  • Other DB4873 RAILROAD MEDICARE
  • OH Other 000000322103 ANTHEM BCBS
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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