Doctor Name: | MR. ERIC STEPHEN SMITH |
NPI Number: | 1477529881 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPN |
License Number: | 33576 |
Business Practice Address: | 1650 Cochrane Cir Ft Carson, CO - 809134603 |
Business Phone Number: | 7195244073 |
Business Fax Number: | 7195267676 |
Mailing Address: | 210 E Iowa Ave, FOUNTAIN |
State: | CO |
Postal Code: | 808172204 |
Phone Number: | 7193229542 |
Fax Number: | 7195267676 |
NPI Enumeration Date: | 02/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 33576 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |