Smith, Jean A

Smith, Jean A is an individual health care provider with primary practice located at 2001 Crystal Spring Ave Sw Suite 301, Roanoke VA 24014-2462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Smith, Jean A can be contacted via phone (540) 981-7715.

Contact Information

Primary practice address
2001 Crystal Spring Ave Sw Suite 301 Roanoke VA 24014-2462
Phone: (540) 981-7715
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 0101226185 Virginia

Profile Details

NPI number 1023091295
LBN Legal business name Smith, Jean A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Aug 12th, 2011 - about 14 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 1023091295 NPPES
Virginia MEDICAID 5844126
Virginia MEDICAID 5886783

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