Smith, Tina M
Smith, Tina M is an sole proprietor health care provider with primary practice located at 2014 Tower Dr Ste A , Monroe LA 71201-5194. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Smith, Tina M can be contacted via phone (318) 325-1731.Contact Information
Primary practice address
2014 Tower Dr Ste A
Monroe LA 71201-5194
Phone: (318) 325-1731
Fax: (318) 325-5636
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | AP03251 | Louisiana |
Profile Details
NPI number | 1790748937 |
---|---|
LBN Legal business name | Smith, Tina M |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 10th, 2006 |
Last updated | Sep 5th, 2023 - about last year |
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 | 1790748937 | NPPES |
Louisiana | MEDICAID | 1557803 |
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