Smallwood, Patrick
Smallwood, Patrick is an individual health care provider with primary practice located at 100 Century Dr , Worcester MA 01606-1244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Smallwood, Patrick can be contacted via phone (508) 762-5400.Contact Information
Primary practice address
100 Century Dr
Worcester MA 01606-1244
Phone: (508) 762-5400
Fax: (508) 762-5410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 153904 | Massachusetts |
Profile Details
| NPI number | 1750363537 |
|---|---|
| LBN Legal business name | Smallwood, Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Dec 7th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750363537 | NPPES |
| Massachusetts | MEDICAID | 110058556A |
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