Smith, Ellen M
Smith, Ellen M is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Ellen M can be contacted via phone (603) 650-8626.Contact Information
Primary practice address
1 Medical Center Dr
Lebanon NH 03756-1000
Phone: (603) 650-8626
Fax: (603) 650-7791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 025381-23-05 | New Hampshire |
Profile Details
| NPI number | 1205948833 |
|---|---|
| LBN Legal business name | Smith, Ellen M |
| Credentials | PH(C), MS, APRN-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1205948833 | NPPES |
| New Hampshire | MEDICAID | 30011307 | |
| New Hampshire | MEDICAID | 0NP0987 |
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