Smith, Todd S

Smith, Todd S is an individual health care provider with primary practice located at 651 Dunlop Ln , Clarksville TN 37040-5015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Smith, Todd S can be contacted via phone (931) 551-1795.

Contact Information

Primary practice address
651 Dunlop Ln Clarksville TN 37040-5015
Phone: (931) 551-1795
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55158 Tennessee

Profile Details

NPI number 1437147154
LBN Legal business name Smith, Todd S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jun 4th, 2014 - about 10 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 1437147154 NPPES
Alabama MEDICAID 009912705
Alabama MEDICAID 3631926
Alabama Other 4048956
Alabama MEDICAID 74005430

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