Smith, Eleanor A

Smith, Eleanor A is an individual health care provider with primary practice located at 171 Taylor St , Harpers Ferry WV 25425-3641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Eleanor A can be contacted via phone (304) 535-6343.

Contact Information

Primary practice address
171 Taylor St Harpers Ferry WV 25425-3641
Fax: (304) 535-6618
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23818 West Virginia

Profile Details

NPI number 1407053929
LBN Legal business name Smith, Eleanor A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Apr 7th, 2022 - about 3 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 1407053929 NPPES
West Virginia MEDICAID 3810018259

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