Smith, Carl W.

Smith, Carl W. is an sole proprietor health care provider with primary practice located at 12598 Central Ave Suite 109, Chino CA 91710-3502. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Smith, Carl W. can be contacted via phone (909) 628-6556.

Contact Information

Primary practice address
12598 Central Ave Suite 109 Chino CA 91710-3502
Phone: (909) 628-6556
Fax: (909) 628-3831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G40206 California

Profile Details

NPI number 1124143334
LBN Legal business name Smith, Carl W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Jun 21st, 2008 - 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.

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