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SUSAN M. SMITH DC LLC NPI 1366670887


NPI Information

NPI: 1366670887
Provider Name: SUSAN M. SMITH DC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
226 SOUTH MORRISON
COLLINSVILLE, IL
ZIP 62234
Phone: (618) 344-0909
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SUSAN M. SMITH DC LLC is a chiropractor in Collinsville, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SUSAN M. SMITH DC LLC NPI is 1366670887. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

226 SOUTH MORRISON
COLLINSVILLE, IL
ZIP 62234
Phone: (618) 344-0909
Fax: (318) 344-0909

The provider's authorized official is Susan Marie Smith .
The authorized official title is Chiropractic Physician and has the following contact phone number (618) 344-0909.

The enumeration date for this NPI number is 6/23/2009 and was last updated on 6/14/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038006983ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1428914MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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