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Contact Information

MONIQUE D SMITH, MD
1717 W COWLES ST
FAIRBANKS, AK99701-5926
 Phone: 907-459-3800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MONIQUE D SMITH · (Female)

NPI # 1174796247
Status Active
Credentials MD
Entity Individual
Enumeration date 04/09/2008
Last updated 05/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 7667
  • TN License # MD0000048750
  • AK Medicaid 1600801
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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