Smith, Jason C
Smith, Jason C is an individual health care provider with primary practice located at 113 Barrington Ct , Maple Hill NC 28454-8659. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Smith, Jason C can be contacted via phone (205) 908-2066.Contact Information
Primary practice address
113 Barrington Ct
Maple Hill NC 28454-8659
Phone: (205) 908-2066
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
NPI number | 1790309565 |
---|---|
LBN Legal business name | Smith, Jason C |
Credentials | IDC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2020 |
Last updated | Jun 8th, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790309565 | NPPES |
Other | 1290344375 | UNITED STATES NAVY |
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