Smith, Jessica Leigh

Smith, Jessica Leigh is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Smith, Jessica Leigh can be contacted via phone (401) 519-1604.

Contact Information

Primary practice address
593 Eddy St Claverick 2 Providence RI 02903-4923
Phone: (401) 519-1604
Fax: (401) 272-0538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD12070 Rhode Island

Profile Details

NPI number 1841238680
LBN Legal business name Smith, Jessica Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Feb 4th, 2010 - about 14 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 1841238680 NPPES
Massachusetts Other 12/29/2008 TUFTS HEALTH PLAN
Massachusetts Other P00430740 TUFTS HEALTH PLAN
Massachusetts Other 06/11/2009 TUFTS HEALTH PLAN
Massachusetts Other 04/15/2009 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2117991 TUFTS HEALTH PLAN
Massachusetts MEDICAID 7058565 TUFTS HEALTH PLAN
Massachusetts Other 1841238680 TUFTS HEALTH PLAN
Massachusetts Other 939025129 TUFTS HEALTH PLAN

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