Smith, Eden Lowell
Smith, Eden Lowell is an individual health care provider with primary practice located at 680 Guzzi Ln Ste 201, Sonora CA 95370-5288. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Eden Lowell can be contacted via phone (209) 536-1785.Contact Information
Primary practice address
680 Guzzi Ln Ste 201
Sonora CA 95370-5288
Phone: (209) 536-1785
Fax: (209) 536-1607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G19148 | California |
Profile Details
| NPI number | 1518908276 |
|---|---|
| LBN Legal business name | Smith, Eden Lowell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518908276 | NPPES |
| California | MEDICAID | G191480 |
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