Smith, George Robert

Smith, George Robert is an individual health care provider with primary practice located at 219 S Spring St , Martinsburg WV 25401-4230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smith, George Robert can be contacted via phone (301) 791-0888.

Contact Information

Primary practice address
219 S Spring St Martinsburg WV 25401-4230
Fax: (304) 267-5884
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD09839 Rhode Island

Profile Details

NPI number 1043254477
LBN Legal business name Smith, George Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 27th, 2017 - about 8 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 1043254477 NPPES
Rhode Island MEDICAID 7058909

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