Smith, Stephen Max
Smith, Stephen Max is an individual health care provider with primary practice located at 611 Clinic Road , Challis ID 83226. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smith, Stephen Max can be contacted via phone (208) 879-4351.Contact Information
Primary practice address
611 Clinic Road
Challis ID 83226
Phone: (208) 879-4351
Fax: (208) 879-5216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1321 | Idaho |
Profile Details
| NPI number | 1639448798 |
|---|---|
| LBN Legal business name | Smith, Stephen Max |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2011 |
| Last updated | Jul 21st, 2020 - about 5 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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