Smith-Poling, Sandra Eilene
Smith-Poling, Sandra Eilene is an individual health care provider with primary practice located at 2112 Landes St , Port Townsend WA 98368-7802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Smith-Poling, Sandra Eilene can be contacted via phone (360) 379-0841.Contact Information
Primary practice address
2112 Landes St
Port Townsend WA 98368-7802
Phone: (360) 379-0841
Fax: (360) 379-0841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00015974 | Washington |
Profile Details
| NPI number | 1457344103 |
|---|---|
| LBN Legal business name | Smith-Poling, Sandra Eilene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Jul 8th, 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 | 1457344103 | NPPES |
| Washington | Other | 0115773 | L&I |
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