NPI 1235502493

The Smith LLC

Organisation Point of Service Oak Creek, WI

Practice location

Address: 9545 S 20th St STE 2, Oak Creek, WI 53154-4929
Phone: (262) 844-1818

Authorised official

Name: Thomas Paul Smith
Title: Owner
Phone: (262) 844-1818

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 2664-12 (WI)

Other Point of Service providers in Wisconsin →

Registry record

NPI: 1235502493
Entity type: Organization
NPI issued: 9 Nov 2015
Record last updated: 9 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.