Smith, Alex Jason
Smith, Alex Jason is an sole proprietor health care provider with primary practice located at 2107 Courthouse Dr Ste 103 , Longview TX 75605-2355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Alex Jason can be contacted via phone (903) 295-1938.Contact Information
Primary practice address
2107 Courthouse Dr Ste 103
Longview TX 75605-2355
Phone: (903) 295-1938
Fax: (903) 295-5902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K1064 | Texas |
Profile Details
| NPI number | 1801892187 |
|---|---|
| LBN Legal business name | Smith, Alex Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Feb 3rd, 2019 - about 5 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 | 1801892187 | NPPES |
| Texas | Other | P00435364 | RR MEDICARE |
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