Smith, Karen E

Smith, Karen E is an individual health care provider with primary practice located at 1812 S J St #102, Tacoma WA 98405-4964. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Karen E can be contacted via phone (253) 552-4900.

Contact Information

Primary practice address
1812 S J St #102 Tacoma WA 98405-4964
Fax: (253) 627-1886
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30005703 Washington

Profile Details

NPI number 1124092614
LBN Legal business name Smith, Karen E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124092614 NPPES
Washington MEDICAID 9630146

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