Smith, Bethany H

Smith, Bethany H is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Smith, Bethany H can be contacted via phone (601) 261-3606.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Fax: (601) 579-5166
Website:

Health care specialties

Profile Details

NPI number 1619987914
LBN Legal business name Smith, Bethany H
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 10th, 2020 - about 4 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 1619987914 NPPES
Mississippi Other 640507572OJ AMERICAN ADMIN GROUP
Mississippi MEDICAID 00122025 AMERICAN ADMIN GROUP
Mississippi MEDICAID 1504572 AMERICAN ADMIN GROUP

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