Smith, Gary A
Smith, Gary A is an sole proprietor health care provider with primary practice located at 2 Medical Plaza Dr Suite 130, Roseville CA 95661-3043. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Smith, Gary A can be contacted via phone (916) 782-7778.Contact Information
Primary practice address
2 Medical Plaza Dr Suite 130
Roseville CA 95661-3043
Phone: (916) 782-7778
Fax: (916) 786-6243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A24785 | California |
Profile Details
| NPI number | 1679600811 |
|---|---|
| LBN Legal business name | Smith, Gary A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1679600811 | NPPES |
| California | MEDICAID | 00A247851 |
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