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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790309565 NPPES
Other 1290344375 UNITED STATES NAVY

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