Smith, Kristin C
Smith, Kristin C is an individual health care provider with primary practice located at 91 Montvale Ave Ste 208 , Stoneham MA 02180-3649. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Smith, Kristin C can be contacted via phone (781) 279-1123.Contact Information
Primary practice address
91 Montvale Ave Ste 208
Stoneham MA 02180-3649
Phone: (781) 279-1123
Fax: (781) 438-3034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 205584 | Massachusetts |
Profile Details
| NPI number | 1497724561 |
|---|---|
| LBN Legal business name | Smith, Kristin C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1497724561 | NPPES |
| Massachusetts | Other | J22911 | BCBS |
| Massachusetts | MEDICAID | 0102032 | BCBS |
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