Smith, Sammi R

Smith, Sammi R is an sole proprietor health care provider with primary practice located at 2727 Hearne Ave , Shreveport LA 71103-3931. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Smith, Sammi R can be contacted via phone (318) 631-6400.

Contact Information

Primary practice address
2727 Hearne Ave Shreveport LA 71103-3931
Fax: (318) 631-0300
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP04110 Louisiana

Profile Details

NPI number 1013982693
LBN Legal business name Smith, Sammi R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Jul 14th, 2015 - about 9 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 1013982693 NPPES
Louisiana MEDICAID 1138576

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