Smith, Robert K

Smith, Robert K is an individual health care provider with primary practice located at 2300 W A St , Moscow ID 83843-4038. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Smith, Robert K can be contacted via phone (208) 883-1500.

Contact Information

Primary practice address
2300 W A St Moscow ID 83843-4038
Phone: (208) 883-1500
Fax: (208) 882-7701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X N24684 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA-357 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30004499 Washington

Profile Details

NPI number 1861486565
LBN Legal business name Smith, Robert K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 13th, 2010 - about 15 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 1861486565 NPPES
Idaho MEDICAID 001667900
Idaho Other N24684
Idaho Other A3516
Idaho Other P00137199
Idaho MEDICAID 9640327

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