Smith, Elowyn M
Smith, Elowyn M is an individual health care provider with primary practice located at 950 E Bogard Rd Suite 233, Wasilla AK 99654-7184. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Elowyn M can be contacted via phone (907) 357-4543.Contact Information
Primary practice address
950 E Bogard Rd Suite 233
Wasilla AK 99654-7184
Phone: (907) 357-4543
Fax: (907) 357-4533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | AK5154 | Alaska |
Profile Details
| NPI number | 1568476596 |
|---|---|
| LBN Legal business name | Smith, Elowyn M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Feb 1st, 2012 - about 13 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 | 1568476596 | NPPES |
| Alaska | MEDICAID | 5469 |
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