Smith, Peggy J
Smith, Peggy J is an individual health care provider with primary practice located at 929 N Saint Francis St , Wichita KS 67214-3821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Smith, Peggy J can be contacted via phone (316) 858-3470.Contact Information
Primary practice address
929 N Saint Francis St
Wichita KS 67214-3821
Phone: (316) 858-3470
Fax: (316) 858-3458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 44714 | Kansas |
Profile Details
| NPI number | 1558527564 |
|---|---|
| LBN Legal business name | Smith, Peggy J |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2008 |
| Last updated | Jul 10th, 2012 - about 12 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 | 1558527564 | NPPES |
| Kansas | MEDICAID | 200567030A |
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