Smith, John Joseph
Smith, John Joseph is an individual health care provider with primary practice located at 2010 Baldwin Ln , Winston Salem NC 27103-5846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Smith, John Joseph can be contacted via phone (336) 564-4430.Contact Information
Primary practice address
2010 Baldwin Ln
Winston Salem NC 27103-5846
Phone: (336) 564-4430
Fax: (336) 277-1718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 2006-01208 | North Carolina |
Profile Details
| NPI number | 1477540466 |
|---|---|
| LBN Legal business name | Smith, John Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jul 12th, 2023 - about last year |
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 | 1477540466 | NPPES |
| South Carolina | MEDICAID | Q0120D | |
| South Carolina | MEDICAID | 10385121 | |
| South Carolina | Other | 4397049 | |
| South Carolina | Other | 143A1 | |
| South Carolina | MEDICAID | 6193161 | |
| South Carolina | Other | 191377 | |
| South Carolina | Other | 808464 | |
| South Carolina | Other | P00378870 | |
| South Carolina | MEDICAID | 3810007318 | |
| South Carolina | MEDICAID | 5905795 |
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