Smith, Jason Wayne
Smith, Jason Wayne is an individual health care provider with primary practice located at 401 E Chestnut St Suite 710, Louisville KY 40202-5700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Smith, Jason Wayne can be contacted via phone (502) 583-8303.Contact Information
Primary practice address
401 E Chestnut St Suite 710
Louisville KY 40202-5700
Phone: (502) 583-8303
Fax: (502) 584-0302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 41807 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 41807 | Kentucky |
Profile Details
| NPI number | 1023225729 |
|---|---|
| LBN Legal business name | Smith, Jason Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2007 |
| Last updated | Oct 17th, 2016 - about 8 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 | 1023225729 | NPPES |
| Kentucky | MEDICAID | 7100053850 |
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