Smith, Jerrold T
Smith, Jerrold T is an individual health care provider with primary practice located at 11201 Benton St , Loma Linda CA 92357-1000. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smith, Jerrold T can be contacted via phone (909) 825-7084.Contact Information
Primary practice address
11201 Benton St
Loma Linda CA 92357-1000
Phone: (909) 825-7084
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1629160676 |
|---|---|
| LBN Legal business name | Smith, Jerrold T |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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