Smith, Charles F
Smith, Charles F is an individual health care provider with primary practice located at 1000 Mineral Point Ave , Janesville WI 53548-2940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Smith, Charles F can be contacted via phone (608) 756-6000.Contact Information
Primary practice address
1000 Mineral Point Ave
Janesville WI 53548-2940
Phone: (608) 756-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 109611 | Wisconsin |
Profile Details
| NPI number | 1104043512 |
|---|---|
| LBN Legal business name | Smith, Charles F |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | May 30th, 2008 - about 17 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 | 1104043512 | NPPES |
| Minnesota | Other | 94D44SM | BCBSMN |
| Minnesota | MEDICAID | 02818100 | BCBSMN |
| Minnesota | MEDICAID | 43367200 | BCBSMN |
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