Smith, Stacia Ann

Smith, Stacia Ann is an individual health care provider with primary practice located at 1401 S Laventure Rd , Mount Vernon WA 98274-6033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Smith, Stacia Ann can be contacted via phone (360) 424-2400.

Contact Information

Primary practice address
1401 S Laventure Rd Mount Vernon WA 98274-6033
Phone: (360) 424-2400
Fax: (360) 424-2418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00029938 Washington

Profile Details

NPI number 1295734499
LBN Legal business name Smith, Stacia Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Dec 30th, 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 1295734499 NPPES
Washington Other 44444 LABOR AND INDUSTRIES
Washington MEDICAID 8148363 LABOR AND INDUSTRIES

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