Smith, Jeffrery Scott
Smith, Jeffrery Scott is an individual health care provider with primary practice located at 222 Acacia St , Fairfield CA 94533-3800. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Smith, Jeffrery Scott can be contacted via phone (707) 421-2095.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 16012 | California |
Profile Details
| NPI number | 1053470534 |
|---|---|
| LBN Legal business name | Smith, Jeffrery Scott |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Mar 12th, 2024 - about 9 months 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 | 1053470534 | NPPES |
| California | MEDICAID | PT0097610 |
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