Smith, Deborah Jane

Smith, Deborah Jane is an individual health care provider with primary practice located at 1007 N Pope St , Silver City NM 88061-5161. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Smith, Deborah Jane can be contacted via phone (575) 388-1511.

Contact Information

Primary practice address
1007 N Pope St Silver City NM 88061-5161
Phone: (575) 388-1511
Fax: (575) 388-3465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD-0803 New Mexico

Profile Details

NPI number 1629371034
LBN Legal business name Smith, Deborah Jane
Credentials LD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2010
Last updated Sep 2nd, 2014 - about 10 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 1629371034 NPPES
Other NMAAA0103 MEDICARE PTAN
MEDICAID 98633708 MEDICARE PTAN

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