Smith, Megan

Smith, Megan is an sole proprietor health care provider with primary practice located at 2178 Johnson Ave , San Luis Obispo CA 93401-4535. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Smith, Megan can be contacted via phone (805) 781-4712.

Contact Information

Primary practice address
2178 Johnson Ave San Luis Obispo CA 93401-4535
Phone: (805) 781-4712
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 34359 California

Profile Details

NPI number 1568996197
LBN Legal business name Smith, Megan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2017
Last updated Apr 20th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568996197 NPPES
California MEDICAID D8206388

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