Smith, Eddie

Smith, Eddie is an individual health care provider with primary practice located at 13609 Carrollton Blvd , Carrollton VA 23314-3214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Eddie can be contacted via phone (757) 238-8751.

Contact Information

Primary practice address
13609 Carrollton Blvd Carrollton VA 23314-3214
Phone: (757) 238-8751
Fax: (757) 238-8750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101047898 Virginia

Profile Details

NPI number 1710958681
LBN Legal business name Smith, Eddie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Oct 21st, 2013 - about 12 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 1710958681 NPPES
North Carolina Other 0574N NC BC BS
North Carolina Other 2180466 NC BC BS
North Carolina MEDICAID 790574N NC BC BS
North Carolina Other PAR NC BC BS
North Carolina Other PAR NC BC BS
North Carolina MEDICAID 005612748 NC BC BS
North Carolina MEDICAID 005615577 NC BC BS
North Carolina Other PAR NC BC BS
North Carolina Other PAR NC BC BS
North Carolina Other -002 -003 NC BC BS
North Carolina Other PAR NC BC BS
North Carolina Other 434846 NC BC BS
North Carolina Other 21017 NC BC BS
North Carolina Other PAR NC BC BS
North Carolina Other PAR NC BC BS
North Carolina Other PAR NC BC BS

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