Smith, Josiah

Smith, Josiah is an individual health care provider with primary practice located at 512 E Elm St , Caldwell ID 83605-4871. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Smith, Josiah can be contacted via phone (208) 370-7004.

Contact Information

Primary practice address
512 E Elm St Caldwell ID 83605-4871
Phone: (208) 370-7004
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-2166 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA939 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2166 Idaho

Profile Details

NPI number 1235100991
LBN Legal business name Smith, Josiah
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated May 15th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235100991 NPPES
Nevada MEDICAID 1235100991
Nevada MEDICAID 100507371
Nevada Other 100508544

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