Smith, Johnelle R
Smith, Johnelle R is an individual health care provider with primary practice located at 1180 Beacon St Ste 3C, Brookline MA 02446-3806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Smith, Johnelle R can be contacted via phone (617) 202-9222.Contact Information
Primary practice address
1180 Beacon St Ste 3C
Brookline MA 02446-3806
Phone: (617) 202-9222
Fax: (617) 879-0933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4301078591 | Michigan |
Profile Details
| NPI number | 1023314143 |
|---|---|
| LBN Legal business name | Smith, Johnelle R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2011 |
| Last updated | Oct 11th, 2016 - about 8 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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