Smith, Joni D.

Smith, Joni D. is an individual health care provider with primary practice located at 2202 Harlem Road , Loves Park IL 61111-2754. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Smith, Joni D. can be contacted via phone (815) 877-4848.

Contact Information

Primary practice address
2202 Harlem Road Loves Park IL 61111-2754
Phone: (815) 877-4848
Fax: (815) 654-5342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209003362 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209-003362 Illinois

Profile Details

NPI number 1417905308
LBN Legal business name Smith, Joni D.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 8th, 2009 - about 15 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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