Gerchman Smith, Mary Rachel

Gerchman Smith, Mary Rachel is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gerchman Smith, Mary Rachel can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Duluth MN 55805-1951
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X R1135220 Minnesota

Profile Details

NPI number 1144259292
LBN Legal business name Gerchman Smith, Mary Rachel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated May 2nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144259292 NPPES
Minnesota MEDICAID 560024300
Minnesota Other 69R64GE

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