Smith, C River
Smith, C River is an sole proprietor health care provider with primary practice located at 11206 Clifton Blvd , Cleveland OH 44102-1407. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Smith, C River can be contacted via phone (216) 651-1302.Contact Information
Primary practice address
11206 Clifton Blvd
Cleveland OH 44102-1407
Phone: (216) 651-1302
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4658 | Ohio |
Profile Details
| NPI number | 1205965480 |
|---|---|
| LBN Legal business name | Smith, C River |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1205965480 | NPPES |
| Ohio | MEDICAID | 0923479 |
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