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Contact Information

EDWARD H SMITH JR, M.A., A.T.C.
7001 W 56TH STREET
INDIANAPOLIS, IN46254
 Phone: 317-808-5208
 Fax: 317-297-8086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for EDWARD H SMITH JR · (Male)

NPI Number 1790997708
Status Active
Credentials M.A., A.T.C.
Entity Individual
Enumeration date 05/03/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 36000056A
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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