Smith, Jerry Don
Smith, Jerry Don is an sole proprietor health care provider with primary practice located at 18Th Medical Group Unit 5142, Apo AP 96368-5142. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Jerry Don can be contacted via phone (315) 630-4780.Contact Information
Primary practice address
18Th Medical Group Unit 5142
Apo AP 96368-5142
Phone: (315) 630-4780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 36009 | Texas |
Profile Details
| NPI number | 1265781645 |
|---|---|
| LBN Legal business name | Smith, Jerry Don |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2012 |
| Last updated | Apr 13th, 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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