Smith, Steven Allen

Smith, Steven Allen is an individual health care provider with primary practice located at 121 Sotoyome Street , Santa Rosa CA 95405-4823. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Smith, Steven Allen can be contacted via phone (707) 525-4003.

Contact Information

Primary practice address
121 Sotoyome Street Santa Rosa CA 95405-4823
Phone: (707) 525-4003
Fax: (707) 578-6258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G46439 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X G46439 California

Profile Details

NPI number 1265416077
LBN Legal business name Smith, Steven Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Oct 29th, 2010 - about 14 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 1265416077 NPPES
California Other 00G464390 BLUE SHIELD OF CALIFORNIA
California Other P00270356 BLUE SHIELD OF CALIFORNIA
California MEDICAID 00G464390 BLUE SHIELD OF CALIFORNIA

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