Smith, Johanna M
Smith, Johanna M is an individual health care provider with primary practice located at 410 Hallock Ave , Port Jefferson Station NY 11776-1232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Johanna M can be contacted via phone (631) 642-1100.Contact Information
Primary practice address
410 Hallock Ave
Port Jefferson Station NY 11776-1232
Phone: (631) 642-1100
Fax: (631) 642-1190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 306296 | New York |
Profile Details
| NPI number | 1326388695 |
|---|---|
| LBN Legal business name | Smith, Johanna M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2013 |
| Last updated | Feb 25th, 2013 - about 11 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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