Smith, Jill Suzanne
Smith, Jill Suzanne is an individual health care provider with primary practice located at 100 S Rosenberger Ave Ste B400 , Evansville IN 47712-6510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Jill Suzanne can be contacted via phone (812) 485-1566.Contact Information
Primary practice address
100 S Rosenberger Ave Ste B400
Evansville IN 47712-6510
Phone: (812) 485-1566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01066193A | Indiana |
Profile Details
| NPI number | 1194864017 |
|---|---|
| LBN Legal business name | Smith, Jill Suzanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Aug 10th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194864017 | NPPES |
| Indiana | MEDICAID | 200945890 |
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