Smith, David Craig

Smith, David Craig is an individual health care provider with primary practice located at 751 S Bascom Ave Orthopedics Dept, San Jose CA 95128-2604. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Smith, David Craig can be contacted via phone (408) 885-7940.

Contact Information

Primary practice address
751 S Bascom Ave Orthopedics Dept San Jose CA 95128-2604
Phone: (408) 885-7940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10335 California

Profile Details

NPI number 1558467100
LBN Legal business name Smith, David Craig
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Sep 12th, 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 1558467100 NPPES
California MEDICAID PA10335

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