Smith, Samuel Vincent

Smith, Samuel Vincent is an individual health care provider with primary practice located at 17273 State Route 104 Chillicothe Vamc, Chillicothe OH 45601-9718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Samuel Vincent can be contacted via phone (740) 773-1141.

Contact Information

Primary practice address
17273 State Route 104 Chillicothe Vamc Chillicothe OH 45601-9718
Phone: (740) 773-1141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200599 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34007141 Ohio

Profile Details

NPI number 1629078860
LBN Legal business name Smith, Samuel Vincent
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Feb 24th, 2016 - about 8 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 1629078860 NPPES
New York MEDICAID 01609865
New York MEDICAID 2973797

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