MEDICARE: DR. ERIN SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	7400	NE

General Provider Information

NPI Number	:	1124407432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN SMITH

Provider Business Mailing Address
First Line	:	600 S 42ND ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68198-1002
Country	:	US
Telephone Number	:	402-559-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 S 42ND ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68198-1002
Country	:	US
Telephone Number	:	402-559-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2015
Last Update Date	:	06/12/2016

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Directions to “ DR. ERIN SMITH ” Practice Location

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