Smith, Olivia Carmen

Smith, Olivia Carmen is an sole proprietor health care provider with primary practice located at 2439 Country Club Dr , Glendora CA 91741-4009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Smith, Olivia Carmen can be contacted via phone (949) 525-7601.

Contact Information

Primary practice address
2439 Country Club Dr Glendora CA 91741-4009
Phone: (949) 525-7601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 0506532 Nevada

Profile Details

NPI number 1841831864
LBN Legal business name Smith, Olivia Carmen
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2019
Last updated Oct 1st, 2019 - about 6 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 1841831864 NPPES
Nevada Other 0506532 NEVADA STATE BOARD OF ATHLETIC TRAINERS
Nevada Other 2000025843 NEVADA STATE BOARD OF ATHLETIC TRAINERS

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