Smith, Sandra L
Smith, Sandra L is an individual health care provider with primary practice located at 200 Ne Mother Joseph Pl Ste 420 , Vancouver WA 98664-3203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Smith, Sandra L can be contacted via phone (360) 514-6161.Contact Information
Primary practice address
200 Ne Mother Joseph Pl Ste 420
Vancouver WA 98664-3203
Phone: (360) 514-6161
Fax: (360) 514-6140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 29835 | Nebraska |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD61154801 | Washington |
Profile Details
| NPI number | 1992774525 |
|---|---|
| LBN Legal business name | Smith, Sandra L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Aug 10th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992774525 | NPPES |
| Michigan | MEDICAID | 4645836 | |
| Michigan | Other | 000370031 | |
| Michigan | MEDICAID | 4337963 |
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