Smith, Mary Beth
Smith, Mary Beth is an individual health care provider with primary practice located at 2001 W 86Th St , Indianapolis IN 46260-1902. 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, Mary Beth can be contacted via phone (317) 338-2345.Contact Information
Primary practice address
2001 W 86Th St
Indianapolis IN 46260-1902
Phone: (317) 338-2345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71001380A | Indiana |
Profile Details
| NPI number | 1447218672 |
|---|---|
| LBN Legal business name | Smith, Mary Beth |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jan 29th, 2015 - about 10 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 | 1447218672 | NPPES |
| Indiana | MEDICAID | 200391050 |
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