Smith, John Albert

Smith, John Albert is an individual health care provider with primary practice located at 2926 Capital Blvd , Raleigh NC 27604-3235. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Smith, John Albert can be contacted via phone (919) 878-8848.

Contact Information

Primary practice address
2926 Capital Blvd Raleigh NC 27604-3235
Fax: (919) 878-8863
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 1412 North Carolina

Profile Details

NPI number 1992799332
LBN Legal business name Smith, John Albert
Credentials D.C., CCSP,PA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1992799332 NPPES
North Carolina MEDICAID 8908800

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