Smith, John R
Smith, John R is an sole proprietor health care provider with primary practice located at 260 State St , Hamburg PA 19526-1823. He recently has only one registered license in Eye and Vision Services Providers / Low Vision Rehabilitation, which is considered as his primary health care specialty. Smith, John R can be contacted via phone (610) 562-4548.Contact Information
Primary practice address
260 State St
Hamburg PA 19526-1823
Phone: (610) 562-4548
Fax: (610) 562-1358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | OEG000269 | Pennsylvania |
Profile Details
| NPI number | 1760426167 |
|---|---|
| LBN Legal business name | Smith, John R |
| Credentials | O.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Mar 17th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760426167 | NPPES |
| Pennsylvania | Other | 50003676 | BLUE CROSS |
| Pennsylvania | Other | 679971 | BLUE CROSS |
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