Provider Demographics
NPI:1356551238
Name:SMITH, MICHAEL D (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:SMITH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 W MARKET ST
Mailing Address - Street 2:SUITE 1011
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-1009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:733 W MARKET ST
Practice Address - Street 2:SUITE 1011
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-1009
Practice Address - Country:US
Practice Address - Phone:330-434-2765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2207111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor