Smith, Ian B

Smith, Ian B is an individual health care provider with primary practice located at 6223 112Th St E , Puyallup WA 98373-4316. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Smith, Ian B can be contacted via phone (253) 286-2211.

Contact Information

Primary practice address
6223 112Th St E Puyallup WA 98373-4316
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X MA00021875 Washington

Profile Details

NPI number 1720107212
LBN Legal business name Smith, Ian B
Credentials LMP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 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 1720107212 NPPES
Washington Other MA00021875 MASSAGE PRACTITIONER

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