Individual
MR. ERIK ANDREW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
896 MASTER DR, GALLOWAY, OH 43119-8238
(614) 804-4256
Mailing address
896 MASTER DR, GALLOWAY, OH 43119-8238
(614) 804-4256
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 110551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2708225
—
OH
Enumeration date
04/26/2007
Last updated
07/08/2007
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