Smith, Madeline Grace

Smith, Madeline Grace is an individual health care provider with primary practice located at 4400 S M L King Jr Pkwy , Beaumont TX 77705-5748. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Smith, Madeline Grace can be contacted via phone (409) 880-2359.

Contact Information

Primary practice address
4400 S M L King Jr Pkwy Beaumont TX 77705-5748
Phone: (409) 880-2359
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1518569664
LBN Legal business name Smith, Madeline Grace
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2020
Last updated Jul 9th, 2023 - about 2 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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