Smith, Carol Ann

Smith, Carol Ann is an individual health care provider with primary practice located at 5950 University Avenue Ste 221, West Des Moines IA 50266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Smith, Carol Ann can be contacted via phone (515) 875-9115.

Contact Information

Primary practice address
5950 University Avenue Ste 221 West Des Moines IA 50266
Phone: (515) 875-9115
Fax: (515) 875-9117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1013 Iowa

Profile Details

NPI number 1659371623
LBN Legal business name Smith, Carol Ann
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Sep 19th, 2011 - about 14 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 1659371623 NPPES
Iowa MEDICAID 0634816

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