Provider Demographics
NPI:1932349883
Name:SMITH, ERIC J (CP)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:J
Last Name:SMITH
Suffix:
Gender:M
Credentials:CP
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Mailing Address - Street 1:3001 P ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-6546
Mailing Address - Country:US
Mailing Address - Phone:916-737-2200
Mailing Address - Fax:916-737-2202
Practice Address - Street 1:3001 P ST
Practice Address - Street 2:SUITE B
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6546
Practice Address - Country:US
Practice Address - Phone:916-737-2200
Practice Address - Fax:916-737-2202
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2013-08-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist