Smith, Paul Albert
Smith, Paul Albert is an sole proprietor health care provider with primary practice located at 6 Mexico Point Drive , Mexico NY 13114. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Smith, Paul Albert can be contacted via phone (315) 963-1330.Contact Information
Primary practice address
6 Mexico Point Drive
Mexico NY 13114
Phone: (315) 963-1330
Fax: (315) 963-1330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 257460-1 | New York |
Profile Details
| NPI number | 1619158821 |
|---|---|
| LBN Legal business name | Smith, Paul Albert |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2007 |
| Last updated | Nov 15th, 2007 - 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 | 1619158821 | NPPES |
| New York | MEDICAID | 01873692 |
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