Smith, Emily J
Smith, Emily J is an sole proprietor health care provider with primary practice located at 829 W Clairemont Ave , Eau Claire WI 54701-6102. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Smith, Emily J can be contacted via phone (715) 833-3505.Contact Information
Primary practice address
829 W Clairemont Ave
Eau Claire WI 54701-6102
Phone: (715) 833-3505
Fax: (715) 833-8515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3693-012 | Wisconsin |
Profile Details
| NPI number | 1093715278 |
|---|---|
| LBN Legal business name | Smith, Emily J |
| Credentials | DC, DICCP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Aug 25th, 2011 - about 14 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 | 1093715278 | NPPES |
| Wisconsin | MEDICAID | 38960000 | |
| Wisconsin | Other | 350050837 | |
| Wisconsin | Other | 392007133011 |
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