Smith, Alan Jay
Smith, Alan Jay is an sole proprietor health care provider with primary practice located at 2618 Avenue C , Scottsbluff NE 69361-1680. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Alan Jay can be contacted via phone (308) 632-8547.Contact Information
Primary practice address
2618 Avenue C
Scottsbluff NE 69361-1680
Phone: (308) 632-8547
Fax: (308) 632-0135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 296 | Nebraska |
Profile Details
| NPI number | 1659372753 |
|---|---|
| LBN Legal business name | Smith, Alan Jay |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Aug 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659372753 | NPPES |
| Nebraska | Other | 08317 | BLUE CROSS BLUE SHIELD |
| Nebraska | MEDICAID | 10025416200 | BLUE CROSS BLUE SHIELD |
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