Smith, George Jay Walker

Smith, George Jay Walker is an sole proprietor health care provider with primary practice located at 160 Allen St Rutland Regional Medical Center - Pathology Lab, Rutland VT 05701-4560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Smith, George Jay Walker can be contacted via phone (802) 747-1789.

Contact Information

Primary practice address
160 Allen St Rutland Regional Medical Center - Pathology Lab Rutland VT 05701-4560
Fax: (802) 747-6525
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 042-0009681 Vermont

Profile Details

NPI number 1558416214
LBN Legal business name Smith, George Jay Walker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 17 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 1558416214 NPPES
Vermont Other 0048280 BLUE SHIELD VT
Vermont MEDICAID OVN2023 BLUE SHIELD VT

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