Smith, John Quentin

Smith, John Quentin is an individual health care provider with primary practice located at 206 E Elm St , Caldwell ID 83605-4815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Smith, John Quentin can be contacted via phone (208) 459-4511.

Contact Information

Primary practice address
206 E Elm St Caldwell ID 83605-4815
Fax: (208) 459-6602
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M8626 Idaho

Profile Details

NPI number 1447249131
LBN Legal business name Smith, John Quentin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Mar 23rd, 2021 - about 4 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 1447249131 NPPES
Idaho MEDICAID 806427100

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