Smith, Raymond N
Smith, Raymond N is an individual health care provider with primary practice located at 160 E Artesia St Suite 220, Pomona CA 91767-2900. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Smith, Raymond N can be contacted via phone (909) 865-1020.Contact Information
Primary practice address
160 E Artesia St Suite 220
Pomona CA 91767-2900
Phone: (909) 865-1020
Fax: (909) 865-1202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 14029 | California |
Profile Details
| NPI number | 1609941632 |
|---|---|
| LBN Legal business name | Smith, Raymond N |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Apr 27th, 2015 - about 10 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 | 1609941632 | NPPES |
| California | MEDICAID | RN399918 |
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