Smith, Chad G

Smith, Chad G is an individual health care provider with primary practice located at 205 15Th Ave Sw Ste D , Puyallup WA 98371-7873. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Smith, Chad G can be contacted via phone (253) 845-0564.

Contact Information

Primary practice address
205 15Th Ave Sw Ste D Puyallup WA 98371-7873
Fax: (253) 770-8482
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO 60188334 Washington

Profile Details

NPI number 1427077114
LBN Legal business name Smith, Chad G
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 22nd, 2019 - about 5 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 1427077114 NPPES
Washington MEDICAID 0275410
Washington Other PO 60188334

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