Smith, Sue Ann
Smith, Sue Ann is an individual health care provider with primary practice located at 2500 Ne Neff Rd , Bend OR 97701-6015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Smith, Sue Ann can be contacted via phone (541) 382-4321.Contact Information
Primary practice address
2500 Ne Neff Rd
Bend OR 97701-6015
Phone: (541) 382-4321
Fax: (541) 706-3765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD16189 | Oregon |
Profile Details
| NPI number | 1659389112 |
|---|---|
| LBN Legal business name | Smith, Sue Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Apr 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659389112 | NPPES |
| Oregon | MEDICAID | 062765 |
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