Smith, Edward R.
Smith, Edward R. is an individual health care provider with primary practice located at 300 Longwood Ave Bader 3, Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Smith, Edward R. can be contacted via phone (617) 355-8414.Contact Information
Primary practice address
300 Longwood Ave Bader 3
Boston MA 02115-5724
Phone: (617) 355-8414
Fax: (617) 730-0906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 161140 | Massachusetts |
Profile Details
| NPI number | 1609846096 |
|---|---|
| LBN Legal business name | Smith, Edward R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Apr 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609846096 | NPPES |
| New Hampshire | Other | 30203759 | MEDICAID HEALTH KIDS |
| New Hampshire | Other | 710422 | MEDICAID HEALTH KIDS |
| New Hampshire | Other | M14829 | MEDICAID HEALTH KIDS |
| New Hampshire | Other | 1010970 | MEDICAID HEALTH KIDS |
| New Hampshire | Other | AA8312 | MEDICAID HEALTH KIDS |
| New Hampshire | Other | 3159607 | MEDICAID HEALTH KIDS |
| New Hampshire | Other | 710422 | MEDICAID HEALTH KIDS |
| New Hampshire | MEDICAID | 9757597 | MEDICAID HEALTH KIDS |
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