Smith, Philip W

Smith, Philip W is an individual health care provider with primary practice located at 979 E 3Rd St Ste 300, Chattanooga TN 37403-2136. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Smith, Philip W can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
979 E 3Rd St Ste 300 Chattanooga TN 37403-2136
Phone: (423) 267-0466
Fax: (423) 757-0770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD28619 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X MD28619 Tennessee

Profile Details

NPI number 1134113707
LBN Legal business name Smith, Philip W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Feb 18th, 2019 - about 5 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 1134113707 NPPES
Ohio MEDICAID 2536483
Ohio MEDICAID 830964577B
Ohio MEDICAID Q002533
Ohio Other 2611015
Ohio Other 4085131
Ohio Other TN0185

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