Smith, Chaniqua Dominique
Smith, Chaniqua Dominique is an individual health care provider with primary practice located at 956 Molly Barr Rd Apt 2 , Oxford MS 38655. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Smith, Chaniqua Dominique can be contacted via phone (166) 280-1295.Contact Information
Primary practice address
956 Molly Barr Rd Apt 2
Oxford MS 38655
Phone: (166) 280-1295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 906158 | Mississippi |
Profile Details
| NPI number | 1164104543 |
|---|---|
| LBN Legal business name | Smith, Chaniqua Dominique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2023 |
| Last updated | Aug 3rd, 2023 - 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.
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