Provider Demographics
NPI:1124293436
Name:SMITH, STEVE D (HIS)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:D
Last Name:SMITH
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 E PRATER WAY STE 111
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-8973
Mailing Address - Country:US
Mailing Address - Phone:775-331-2500
Mailing Address - Fax:775-331-2501
Practice Address - Street 1:1450 E PRATER WAY STE 111
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434
Practice Address - Country:US
Practice Address - Phone:775-331-2500
Practice Address - Fax:775-331-2501
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0185237700000X
NV185237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist