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Contact Information

ROOSEVELT J SMITH
4518-A WEST MARKET ST
GREENSBORO, NC27407
 Phone: 336-235-4022
 Fax: 336-235-4023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ROOSEVELT J SMITH · (Male)

NPI # 1235235680
Status Active
Credentials
Entity Individual
Enumeration date 09/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2930
  • NC Medicaid 89085AM
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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