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
Fax: (559) 625-4699
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851452148 NPPES
California MEDICAID OOA407930

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