Smith, Diane E

Smith, Diane E is an individual health care provider with primary practice located at 100 Kenyon Ave , Wakefield RI 02879-4216. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Smith, Diane E can be contacted via phone (401) 782-8000.

Contact Information

Primary practice address
100 Kenyon Ave Wakefield RI 02879-4216
Phone: (401) 782-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042212 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0420013392 Vermont
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD09423 Rhode Island

Profile Details

NPI number 1003893322
LBN Legal business name Smith, Diane E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jun 8th, 2018 - about 7 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 1003893322 NPPES
Vermont MEDICAID 1026765
Vermont Other U400473648

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