Smith, James W

Smith, James W is an individual health care provider with primary practice located at 5147 North 9Th Avenue Suite 311, Pensacola FL 32504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Smith, James W can be contacted via phone (850) 477-2597.

Contact Information

Primary practice address
5147 North 9Th Avenue Suite 311 Pensacola FL 32504
Phone: (850) 477-2597
Fax: (850) 478-7941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0038076 Florida

Profile Details

NPI number 1386737955
LBN Legal business name Smith, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 22nd, 2007 - about 19 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 1386737955 NPPES
Alabama MEDICAID 008202700
Alabama Other 059075508
Alabama Other 100000146
Alabama Other 6832173
Alabama Other Z016
Alabama Other 000289901002
Alabama Other 4647812
Alabama Other 17497
Alabama MEDICAID 065335700

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