Smith, Sara Susana

Smith, Sara Susana is an individual health care provider with primary practice located at 23213 Pacific Hwy S , Kent WA 98032-2721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Smith, Sara Susana can be contacted via phone (206) 870-8880.

Contact Information

Primary practice address
23213 Pacific Hwy S Kent WA 98032-2721
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60080613 Washington

Profile Details

NPI number 1588997894
LBN Legal business name Smith, Sara Susana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2009
Last updated Oct 25th, 2013 - about 11 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 1588997894 NPPES
Washington MEDICAID 1588997894

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