Smith, Thedia J
Smith, Thedia J is an individual health care provider with primary practice located at 733 Volvo Pkwy Suite 200, Chesapeake VA 23320-1609. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Thedia J can be contacted via phone (757) 547-5851.Contact Information
Primary practice address
733 Volvo Pkwy Suite 200
Chesapeake VA 23320-1609
Phone: (757) 547-5851
Fax: (888) 371-4920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101046052 | Virginia |
Profile Details
| NPI number | 1013015080 |
|---|---|
| LBN Legal business name | Smith, Thedia J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Aug 14th, 2013 - about 12 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 | 1013015080 | NPPES |
| Virginia | MEDICAID | 010346045 |
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