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Contact Information

SAMUEL L SMITH, R.D.
80 PHOENIX AVE
WATERBURY, CT06702-1418
 Phone: 203-756-8021
 Fax: 203-596-9038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for SAMUEL L SMITH · (Male)

NPI # 1447467378
Status Active
Credentials R.D.
Entity Individual
Enumeration date 05/17/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 000491
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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