Smith, Justin R
Smith, Justin R is an sole proprietor health care provider with primary practice located at 35 Medical Center Pkwy , Augusta ME 04330-8160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Justin R can be contacted via phone (207) 626-1218.Contact Information
Primary practice address
35 Medical Center Pkwy
Augusta ME 04330-8160
Phone: (207) 626-1218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 184759 | Maine |
Profile Details
| NPI number | 1952882839 |
|---|---|
| LBN Legal business name | Smith, Justin R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2018 |
| Last updated | Aug 28th, 2018 - about 6 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 | 1952882839 | NPPES |
| Maine | Other | 184759 | CSFA |
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