Smith, Stephen
Smith, Stephen is an individual health care provider with primary practice located at 515 S Locust St , Visalia CA 93277-2616. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Smith, Stephen can be contacted via phone (559) 625-4630.Contact Information
Primary practice address
515 S Locust St
Visalia CA 93277-2616
Phone: (559) 625-4630
Fax: (559) 625-4699
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | A040793 | California |
Profile Details
NPI number | 1851452148 |
---|---|
LBN Legal business name | Smith, Stephen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 12th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1851452148 | NPPES |
California | MEDICAID | OOA407930 |
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