Smith-Haxton, Serese Yvonne

Smith-Haxton, Serese Yvonne is an individual health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Smith-Haxton, Serese Yvonne can be contacted via phone (573) 632-5510.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101-5227
Phone: (573) 632-5510
Fax: (573) 632-5810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X KS 04-31151 Kansas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2009035426 Missouri

Profile Details

NPI number 1518048735
LBN Legal business name Smith-Haxton, Serese Yvonne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Feb 11th, 2016 - 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 1518048735 NPPES
Missouri MEDICAID 1518048735
Missouri MEDICAID 100447000D

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