Smikle, Yvonne May

Smikle, Yvonne May is an individual health care provider with primary practice located at 425 Revere St , Revere MA 02151-4543. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smikle, Yvonne May can be contacted via phone (781) 286-1313.

Contact Information

Primary practice address
425 Revere St Revere MA 02151-4543
Phone: (781) 286-1313
Fax: (781) 286-1098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 216727 Massachusetts

Profile Details

NPI number 1457314049
LBN Legal business name Smikle, Yvonne May
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Feb 7th, 2013 - 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 1457314049 NPPES
Massachusetts MEDICAID 2022061

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