Smith, Eldene Arne

Smith, Eldene Arne is an sole proprietor health care provider with primary practice located at 57463 Twenty-Nine Palms Highway Suite 203, Yucca Valley CA 92284. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Smith, Eldene Arne can be contacted via phone (760) 228-1855.

Contact Information

Primary practice address
57463 Twenty-Nine Palms Highway Suite 203 Yucca Valley CA 92284
Phone: (760) 228-1855
Fax: (760) 228-1897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A38944 California

Profile Details

NPI number 1164424479
LBN Legal business name Smith, Eldene Arne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Feb 14th, 2013 - about 11 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 1164424479 NPPES
California MEDICAID 00A389440

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