Smith, Anita Rochelle

Smith, Anita Rochelle is an individual health care provider with primary practice located at 4801 Veterans Dr , Saint Cloud MN 56303-2015. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Smith, Anita Rochelle can be contacted via phone (320) 255-6350.

Contact Information

Primary practice address
4801 Veterans Dr Saint Cloud MN 56303-2015
Phone: (320) 255-6350
Fax: (320) 255-6426
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 25830 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25830 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 061659 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 061659 Georgia

Profile Details

NPI number 1700923224
LBN Legal business name Smith, Anita Rochelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jun 7th, 2015 - about 9 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 1700923224 NPPES
Alabama MEDICAID 630000013
Alabama Other 011486
Alabama Other 1063439065

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