Smith, Patricia Anne

Smith, Patricia Anne is an individual health care provider with primary practice located at 340 S Willard St , Cottonwood AZ 86326-4126. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Smith, Patricia Anne can be contacted via phone (928) 639-6025.

Contact Information

Primary practice address
340 S Willard St Cottonwood AZ 86326-4126
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200500833 North Carolina
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 53143 Arizona

Profile Details

NPI number 1225098908
LBN Legal business name Smith, Patricia Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Sep 11th, 2020 - about 4 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 1225098908 NPPES
North Carolina MEDICAID 5901606

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