Smith, Raymond L

Smith, Raymond L is an individual health care provider with primary practice located at 2603 Keiser Blvd Suite 204, Wyomissing PA 19610-3341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Smith, Raymond L can be contacted via phone (484) 628-3939.

Contact Information

Primary practice address
2603 Keiser Blvd Suite 204 Wyomissing PA 19610-3341
Phone: (484) 628-3939
Fax: (484) 628-3940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD009512E Pennsylvania

Profile Details

NPI number 1477727162
LBN Legal business name Smith, Raymond L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Jun 4th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477727162 NPPES
Pennsylvania MEDICAID 102124609

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