Individual
DR. BRENT THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C , AGNP
Contact information
Practice address
12 EAGLEVIEW LN, SCHWENKSVILLE, PA 19473
(845) 594-4873
Mailing address
PO BOX 230, MARGARETVILLE, NY 12455-0230
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
012097-1
NY
111N00000X
Chiropractor
3363
MA
111N00000X
Chiropractor
38MC00695900
NJ
111N00000X
Chiropractor
DC011274
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
F311712-01
NY
Other
Enumeration date
02/09/2012
Last updated
05/08/2024
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