Smith, Ethel Ea

Smith, Ethel Ea is an individual health care provider with primary practice located at 9500 Euclid Ave Rk30, Cleveland OH 44195-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Smith, Ethel Ea can be contacted via phone (216) 636-8742.

Contact Information

Primary practice address
9500 Euclid Ave Rk30 Cleveland OH 44195-0001
Phone: (216) 636-8742
Fax: (216) 636-7877
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35071076 Ohio
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 35071076S Ohio
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 35071076S Ohio

Profile Details

NPI number 1184665408
LBN Legal business name Smith, Ethel Ea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 22nd, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184665408 NPPES
Ohio MEDICAID 283465

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