Smith, Clarence E

Smith, Clarence E is an individual health care provider with primary practice located at 1323 W Colton Ave Suite 11, Redlands CA 92374-4554. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smith, Clarence E can be contacted via phone (909) 335-7067.

Contact Information

Primary practice address
1323 W Colton Ave Suite 11 Redlands CA 92374-4554
Phone: (909) 335-7067
Fax: (909) 792-2045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RI-S0510041508 California

Profile Details

NPI number 1376753699
LBN Legal business name Smith, Clarence E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1376753699 NPPES
California Other 5091 SIMON STAFF NUMBER

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