Smith, John B.

Smith, John B. is an individual health care provider with primary practice located at 403 Fairview St , Clinton NC 28328-2399. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, John B. can be contacted via phone (910) 592-6011.

Contact Information

Primary practice address
403 Fairview St Clinton NC 28328-2399
Phone: (910) 592-6011
Fax: (910) 592-0817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00-21870 North Carolina

Profile Details

NPI number 1659309581
LBN Legal business name Smith, John B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Oct 18th, 2019 - about 6 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 1659309581 NPPES
North Carolina Other 5807381 AETNA
North Carolina Other 77854 AETNA
North Carolina Other 0138819 AETNA
North Carolina Other 30927 AETNA
North Carolina Other 560955090F AETNA
North Carolina MEDICAID 00369135 AETNA

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