Dr. Roosevelt J Smith
Chiropractic Sports Physician
4518-A West Market St
Greensboro
, North Carolina 27407
Dr. Roosevelt J Smith
Chiropractic Sports Physician
4518-A West Market St
Greensboro
, North Carolina 27407
(336) 235-4023
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Roosevelt J Smith
- 4518-A West Market St
- Greensboro, NC
- Zip : 27407
- Fax : (336) 235-4023
- Phone : (336) 235-4022
Second Address
- Dr. Roosevelt J Smith
- 4518-A West Market St
- Greensboro, NC
- Zip : 27407
- Fax : (336) 235-4023
- Phone : (336) 235-4022
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 2930 | NC |
National Provider Identifier
| NPI | 1235235680 |
|---|---|
| Provider Name | Dr. Roosevelt J Smith |
| First Address | Greensboro, NC 27407 |
| Second Address | Greensboro, NC 27407 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 89085AM | (05) | NC |
| U83A15 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.