Mr. Michael Scott Smith
Rehabilitation Chiropractor
108 S Franklin St
Dwight
, Illinois 60420-1345
Mr. Michael Scott Smith
Rehabilitation Chiropractor
108 S Franklin St
Dwight
, Illinois 60420-1345
(815) 584-2225
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Mr. Michael Scott Smith
- Po Box 151
- Dwight, IL
- Zip : 60420-0151
- Phone : (815) 584-2225
Second Address
- Mr. Michael Scott Smith
- 108 S Franklin St
- Dwight, IL
- Zip : 60420-1345
- Phone : (815) 584-2225
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | 038-008658 | IL |
National Provider Identifier
| NPI | 1376670430 |
|---|---|
| Provider Name | Mr. Michael Scott Smith |
| First Address | Dwight, IL 60420-0151 |
| Second Address | Dwight, IL 60420-1345 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2007 |
| Last Update Date | 21/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03223254 | BLUE CROSS BLUE SHIELD (01) | IL |
| 551250 | MEDICARE PTAN (01) | |
| U76167 | (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.