Smith, Rhonda Michelle

Smith, Rhonda Michelle is an individual health care provider with primary practice located at 1300 Mable Avenue Suite 2, Modesto CA 95355. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Smith, Rhonda Michelle can be contacted via phone (209) 571-1992.

Contact Information

Primary practice address
1300 Mable Avenue Suite 2 Modesto CA 95355
Fax: (209) 571-1994
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA14435 California

Profile Details

NPI number 1649437997
LBN Legal business name Smith, Rhonda Michelle
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Nov 28th, 2012 - 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 1649437997 NPPES
California Other PA14435 PA LICENSE

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