Smith, Sophia R

Smith, Sophia R is an sole proprietor health care provider with primary practice located at 111 Michigan Ave Nw , Washington DC 20010-2978. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Smith, Sophia R can be contacted via phone (202) 884-2130.

Contact Information

Primary practice address
111 Michigan Ave Nw Washington DC 20010-2978
Phone: (202) 884-2130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD32647 District of Columbia

Profile Details

NPI number 1881775740
LBN Legal business name Smith, Sophia R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Dec 17th, 2007 - about 17 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 1881775740 NPPES
District of Columbia MEDICAID 036841500
District of Columbia MEDICAID 699265001
District of Columbia MEDICAID 6718027

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