Smith, Pearish J

Smith, Pearish J is an individual health care provider with primary practice located at 500 Indiana Ave , Winslow AZ 86047-2169. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Smith, Pearish J can be contacted via phone (928) 289-4646.

Contact Information

Primary practice address
500 Indiana Ave Winslow AZ 86047-2169
Phone: (928) 289-4646
Fax: (928) 283-6231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A66372 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A66372 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34591 Arizona

Profile Details

NPI number 1619998200
LBN Legal business name Smith, Pearish J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Dec 18th, 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 1619998200 NPPES
Arizona MEDICAID 494659

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