Smith, Gwen
Smith, Gwen is an individual health care provider with primary practice located at 12000 Mccracken Rd Suite 550, Garfield Hts OH 44125-2964. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Gwen can be contacted via phone (216) 663-8686.Contact Information
Primary practice address
12000 Mccracken Rd Suite 550
Garfield Hts OH 44125-2964
Phone: (216) 663-8686
Fax: (216) 663-2153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | NP05426 | Ohio |
Profile Details
| NPI number | 1851480339 |
|---|---|
| LBN Legal business name | Smith, Gwen |
| Credentials | MSN,CNP,CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851480339 | NPPES |
| Ohio | MEDICAID | 2455892 |
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