Smith, Myra Ann
Smith, Myra Ann is an individual health care provider with primary practice located at 600 Medical Dr Suite A & B, Hampton VA 23666-1769. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Smith, Myra Ann can be contacted via phone (757) 788-0600.Contact Information
Primary practice address
600 Medical Dr Suite A & B
Hampton VA 23666-1769
Phone: (757) 788-0600
Fax: (757) 788-0932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701001799 | Virginia |
Profile Details
| NPI number | 1881757276 |
|---|---|
| LBN Legal business name | Smith, Myra Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jan 30th, 2008 - 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 | 1881757276 | NPPES |
| Virginia | MEDICAID | 4945573 |
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