Smith-Chakmakova, Faye M.
Smith-Chakmakova, Faye M. is an individual health care provider with primary practice located at 2170 South Ave , South Lake Tahoe CA 96150-7026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Smith-Chakmakova, Faye M. can be contacted via phone (530) 541-3420.Contact Information
Primary practice address
2170 South Ave
South Lake Tahoe CA 96150-7026
Phone: (530) 541-3420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | C165898 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD447815 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | R71376 | Arizona |
Profile Details
| NPI number | 1831411933 |
|---|---|
| LBN Legal business name | Smith-Chakmakova, Faye M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2010 |
| Last updated | Mar 17th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831411933 | NPPES |
| Arizona | Other | R71376 | TRAINING PERMIT |
| Arizona | Other | P01392613 | TRAINING PERMIT |
| Arizona | MEDICAID | 102944900 | TRAINING PERMIT |
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