Smith, Revonna Joy
Smith, Revonna Joy is an individual health care provider with primary practice located at 3180 Kettering Blvd.1141 N Monroe Drive , Dayton OH 45439-1924. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Smith, Revonna Joy can be contacted via phone (937) 297-6072.Contact Information
Primary practice address
3180 Kettering Blvd.1141 N Monroe Drive
Dayton OH 45439-1924
Phone: (937) 297-6072
Fax: (937) 293-0969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 34004618 | Ohio |
Profile Details
| NPI number | 1215908918 |
|---|---|
| LBN Legal business name | Smith, Revonna Joy |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| 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.
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