Smith, Jaclyn M

Smith, Jaclyn M is an individual health care provider with primary practice located at 1000 E Main St , Danville IN 46122-1948. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Smith, Jaclyn M can be contacted via phone (317) 745-4451.

Contact Information

Primary practice address
1000 E Main St Danville IN 46122-1948
Phone: (317) 745-4451
Fax: (317) 718-6740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 013063523A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01063523A Indiana

Profile Details

NPI number 1558588202
LBN Legal business name Smith, Jaclyn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Mar 31st, 2021 - about 4 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 1558588202 NPPES
Indiana Other 000000911432 ANTHEM PROVIDER NUMBER - ARNETT CLINIC, LLC
Indiana Other 000000550465 ANTHEM PROVIDER NUMBER - ARNETT CLINIC, LLC
Indiana MEDICAID 200868320 ANTHEM PROVIDER NUMBER - ARNETT CLINIC, LLC

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