Smith, Chadwick Ray

Smith, Chadwick Ray is an individual health care provider with primary practice located at 2900 1St Ave , Huntington WV 25702. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Smith, Chadwick Ray can be contacted via phone (304) 526-1234.

Contact Information

Primary practice address
2900 1St Ave Huntington WV 25702
Phone: (304) 526-1234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21398 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21398 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21398 West Virginia

Profile Details

NPI number 1417956657
LBN Legal business name Smith, Chadwick Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Nov 14th, 2018 - about 6 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 1417956657 NPPES
West Virginia Other 000720339 WV BCBS
West Virginia MEDICAID 2691145 WV BCBS
West Virginia Other 1067482 WV BCBS
West Virginia MEDICAID 1811128-000 WV BCBS
West Virginia MEDICAID 7100001570 WV BCBS

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