# JAY L. SMITH MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bowling Green Pain Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790967974
- **Authorized official:** DR. JAY L. SMITH MD (OWNER)
- **Authorized official phone:** (419) 354-6166

## Contact information

- **Practice address:** 1072 N MAIN ST, BOWLING GREEN, OH 43402-1346
- **Practice address phone:** (419) 354-6166
- **Practice address fax:** (419) 354-6756
- **Mailing address:** 1072 N MAIN ST, BOWLING GREEN, OH 43402-1346
- **Mailing address phone:** (419) 354-6166
- **Mailing address fax:** (419) 354-6756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2197 | OH | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 35-04-4006 | OH | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 03/16/2012