Smith, Gary Mark

Smith, Gary Mark is an individual health care provider with primary practice located at 2901 Squalicum Pkwy , Bellingham WA 98225-1851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Smith, Gary Mark can be contacted via phone (360) 734-5400.

Contact Information

Primary practice address
2901 Squalicum Pkwy Bellingham WA 98225-1851
Phone: (360) 734-5400
Fax: (360) 715-6996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD00020599 Washington

Profile Details

NPI number 1497715841
LBN Legal business name Smith, Gary Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Nov 19th, 2010 - about 15 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 1497715841 NPPES
Washington MEDICAID 1497715841
Washington Other 5391145
Washington Other 31601
Washington MEDICAID 1001791
Washington Other 0178213

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