Smith-Ede, Bobbie J
Smith-Ede, Bobbie J is an individual health care provider with primary practice located at 555 Black Oak Drive , Medford OR 97504-8225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith-Ede, Bobbie J can be contacted via phone (541) 789-8000.Contact Information
Primary practice address
555 Black Oak Drive
Medford OR 97504-8225
Phone: (541) 789-8000
Fax: (541) 789-8225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 200250183 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 200250183NP | Oregon |
Profile Details
| NPI number | 1285631648 |
|---|---|
| LBN Legal business name | Smith-Ede, Bobbie J |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Jun 19th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285631648 | NPPES |
| Oregon | MEDICAID | 100163 |
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