Smith, Caldwell Withers

Smith, Caldwell Withers is an individual health care provider with primary practice located at 690 Eddy St , Providence RI 02903-4928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smith, Caldwell Withers can be contacted via phone (401) 274-5844.

Contact Information

Primary practice address
690 Eddy St Providence RI 02903-4928
Fax: (401) 274-9462
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD5399 Rhode Island
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 38194 Massachusetts

Profile Details

NPI number 1538165659
LBN Legal business name Smith, Caldwell Withers
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Sep 20th, 2011 - about 13 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 1538165659 NPPES
Rhode Island MEDICAID 7000375
Rhode Island MEDICAID 614552

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