Andy W Smith
Individual provider Active NPI Driver · Hemlock, MI
NPI 1003286485 · NPPES record last updated Sep 29, 2015
Key facts
- NPI
- 1003286485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- S530067866344 (MI)
- Practice address
- 424 1/2 S Hemlock Rd
Hemlock, MI 48626-8784 - Phone
- (989) 890-1823
- NPI assigned
- Sep 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S530067866344 | MI | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | S530067866344 | MI | Yes |
Addresses
Primary practice location
424 1/2 S Hemlock Rd
Hemlock, MI 48626-8784
Mailing address
424 1/2 S Hemlock Rd
Hemlock, MI 48626
Phone (989) 890-1823
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7799329 | Other | MI | HOME HEALTH PROVIDER |
Other providers in Hemlock, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.