Provider Demographics
NPI:1043452410
Name:MARGARET K. SMITH, INC.
Entity Type:Organization
Organization Name:MARGARET K. SMITH, INC.
Other - Org Name:MARGARET K. SMITH, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:KOSZYLKO
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:619-804-6147
Mailing Address - Street 1:4344 CONVOY ST
Mailing Address - Street 2:SUITE K
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-3737
Mailing Address - Country:US
Mailing Address - Phone:858-279-7300
Mailing Address - Fax:
Practice Address - Street 1:4344 CONVOY ST
Practice Address - Street 2:SUITE K
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-3737
Practice Address - Country:US
Practice Address - Phone:858-279-7300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty