Smith, Elton Travis

Smith, Elton Travis is an individual health care provider with primary practice located at 2001 Vail Ave , Charlotte NC 28207-1248. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Smith, Elton Travis can be contacted via phone (704) 973-5500.

Contact Information

Primary practice address
2001 Vail Ave Charlotte NC 28207-1248
Phone: (704) 973-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 9401109 North Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 9401109 North Carolina

Profile Details

NPI number 1487653416
LBN Legal business name Smith, Elton Travis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Nov 13th, 2019 - about 5 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 1487653416 NPPES
North Carolina MEDICAID 5904987
North Carolina Other 18494
North Carolina Other 9401109
North Carolina MEDICAID 184945

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