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Contact Information

TIM M SMITH
3200 GREENWOOD RD.
SHREVEPORT, LA71103
 Phone: 318-212-4450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Exercise Physiologist

224Y00000X
Indicates primary specialty

NPI Profile & details for TIM M SMITH · (Male)

NPI Number 1346527330
Status Active
Credentials
Entity Individual
Enumeration date 11/04/2011
Last updated 11/04/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • LA License # CEP.CE0198
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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