Smith, Jerome Charles

Smith, Jerome Charles is an individual health care provider with primary practice located at 651 1St St W Suite H, Sonoma CA 95476-7045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Smith, Jerome Charles can be contacted via phone (707) 938-3870.

Contact Information

Primary practice address
651 1St St W Suite H Sonoma CA 95476-7045
Phone: (707) 938-3870
Fax: (707) 938-3895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME83173 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A66490 California

Profile Details

NPI number 1295708675
LBN Legal business name Smith, Jerome Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Oct 6th, 2011 - about 13 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 1295708675 NPPES
California MEDICAID FHC53855F
California MEDICAID 262135500

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