Smith, Coke R.

Smith, Coke R. is an individual health care provider with primary practice located at 888 Swift Blvd. , Richland WA 99352. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Smith, Coke R. can be contacted via phone (509) 946-4611.

Contact Information

Primary practice address
888 Swift Blvd. Richland WA 99352
Phone: (509) 946-4611
Fax: (509) 942-2185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD00020218 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00020218 Washington

Profile Details

NPI number 1336192715
LBN Legal business name Smith, Coke R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Mar 25th, 2021 - about 3 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 1336192715 NPPES
Washington MEDICAID 1006535

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