Smith, Jennifer S

Smith, Jennifer S is an individual health care provider with primary practice located at 35 Miles St , Damariscotta ME 04543-4047. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Smith, Jennifer S can be contacted via phone (207) 563-4250.

Contact Information

Primary practice address
35 Miles St Damariscotta ME 04543-4047
Phone: (207) 563-4250
Fax: (207) 563-4561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 014046 Maine
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 14046 Maine

Profile Details

NPI number 1124026778
LBN Legal business name Smith, Jennifer S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 5th, 2012 - about 12 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 1124026778 NPPES
Maine MEDICAID 3261040099

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