Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JON MAURICE SMOOTS
Active Sole ProprietorJON MAURICE SMOOTS is a 405300000X healthcare provider located in MILWAUKEE, Wisconsin. NPI 1063981710 is currently active in the NPPES registry. Verify at CMS.
405300000X · MILWAUKEE, WI
Registration Details
- NPI Number
- 1063981710
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 23, 2018 (7.7672404409685 yrs)
- Last Updated
- Nov 23, 2018
- License
-
1319081 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7710 W. CASPER STREETMILWAUKEE, WI, 53216Browse WI providers · Browse ZIP 53216
- Phone
- 4142311925
- Primary Specialty
-
405300000X
405300000X
Other 405300000X Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| SONIA PORTER | — | 1043627912 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.