Smith, Beth B

Smith, Beth B is an individual health care provider with primary practice located at 202 S Park St , Madison WI 53715-1507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Smith, Beth B can be contacted via phone (608) 417-6236.

Contact Information

Primary practice address
202 S Park St Madison WI 53715-1507
Phone: (608) 417-6236
Fax: (608) 417-6377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 52994 Wisconsin
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 52994 Wisconsin

Profile Details

NPI number 1922202183
LBN Legal business name Smith, Beth B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Jan 13th, 2021 - about 3 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 1922202183 NPPES
District of Columbia Other 3894-0008 BCBS
District of Columbia Other 9702552 BCBS
District of Columbia Other 970869-01 BCBS
District of Columbia Other 970869-02 BCBS
District of Columbia Other 6457588 BCBS
District of Columbia MEDICAID 540057100 BCBS

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