Smith, Marguerite Jean
Smith, Marguerite Jean is an individual health care provider with primary practice located at 33 N Central Ave Suite 425, Medford OR 97501-5900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Marguerite Jean can be contacted via phone (541) 779-5877.Contact Information
Primary practice address
33 N Central Ave Suite 425
Medford OR 97501-5900
Phone: (541) 779-5877
Fax: (541) 664-3287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 79042695 | Oregon |
Profile Details
| NPI number | 1417931395 |
|---|---|
| LBN Legal business name | Smith, Marguerite Jean |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2005 |
| Last updated | Mar 19th, 2008 - about 16 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 | 1417931395 | NPPES |
| Oregon | MEDICAID | 276809 |
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