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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EIAN JACOB SMITH I

Active Sole Proprietor

EIAN JACOB SMITH I is a Specialist/Technologist, Other healthcare provider located in PORT HURON, Michigan. NPI 1316668338 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Other · PORT HURON, MI

Registration Details

NPI Number
1316668338
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2022 (3.9552055388462 yrs)
Last Updated
Sep 7, 2022
Sole Proprietor
Yes

Practice Information

Address
1816 S WOODLAND DR
PORT HURON, MI, 480601945
Browse MI providers · Browse ZIP 48060
Phone
8152711188
Primary Specialty
Specialist/Technologist, Other
246Y00000X
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.