Smith, Jennifer Emily

Smith, Jennifer Emily is an individual health care provider with primary practice located at 4700 Point Fosdick Dr Ste 220 , Gig Harbor WA 98335-1706. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith, Jennifer Emily can be contacted via phone (253) 851-5121.

Contact Information

Primary practice address
4700 Point Fosdick Dr Ste 220 Gig Harbor WA 98335-1706
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00039281 Washington

Profile Details

NPI number 1215919170
LBN Legal business name Smith, Jennifer Emily
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated May 19th, 2021 - about 3 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 1215919170 NPPES
Washington MEDICAID 8281271

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