Smidy, Carmen

Smidy, Carmen is an individual health care provider with primary practice located at 473 Sumner Ave Mercy Care - Forest Park, Springfield MA 01108-2321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Smidy, Carmen can be contacted via phone (413) 886-0410.

Contact Information

Primary practice address
473 Sumner Ave Mercy Care - Forest Park Springfield MA 01108-2321
Phone: (413) 886-0410
Fax: (413) 886-0420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 153653 Massachusetts

Profile Details

NPI number 1699747014
LBN Legal business name Smidy, Carmen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 23rd, 2012 - about 12 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 1699747014 NPPES
Massachusetts MEDICAID 0353060
Massachusetts Other CN0320

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