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
Phone: (802) 747-1789
Fax: (802) 747-6525
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1558416214 | NPPES |
| Vermont | Other | 0048280 | BLUE SHIELD VT |
| Vermont | MEDICAID | OVN2023 | BLUE SHIELD VT |
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