Smith, Sandra Jean

Smith, Sandra Jean is an individual health care provider with primary practice located at 1280 E Calvada Blvd , Pahrump NV 89048-5693. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith, Sandra Jean can be contacted via phone (775) 751-3377.

Contact Information

Primary practice address
1280 E Calvada Blvd Pahrump NV 89048-5693
Fax: (775) 751-2323
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12357 Nevada

Profile Details

NPI number 1801912985
LBN Legal business name Smith, Sandra Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 5th, 2011 - about 14 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 1801912985 NPPES
Nevada MEDICAID 1801912985

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