Smith, L. Robert
Smith, L. Robert is an sole proprietor health care provider with primary practice located at 1176 Karin St , Vineland NJ 08360-4209. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Smith, L. Robert can be contacted via phone (856) 691-1737.Contact Information
Primary practice address
1176 Karin St
Vineland NJ 08360-4209
Phone: (856) 691-1737
Fax: (856) 691-4991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA03230500 | New Jersey |
Profile Details
| NPI number | 1487696407 |
|---|---|
| LBN Legal business name | Smith, L. Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487696407 | NPPES |
| New Jersey | MEDICAID | 3359701 | |
| New Jersey | Other | 2436385005 | |
| New Jersey | Other | 0057074000 | |
| New Jersey | Other | 41768 | |
| New Jersey | Other | 060850 |
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