Smith, Wayne Graham
Smith, Wayne Graham is an individual health care provider with primary practice located at 158 Lake St , Saint Albans VT 05478-2278. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Nutrition. Chiropractic Providers / Chiropractor is his primary health care specialty. Smith, Wayne Graham can be contacted via phone (864) 494-3555.Contact Information
Primary practice address
158 Lake St
Saint Albans VT 05478-2278
Phone: (864) 494-3555
Fax: (802) 782-8862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 006.0064013 | Vermont |
| Chiropractic Providers / Rehabilitation | 111NR0400X | 06.0064013 | Vermont |
| Chiropractic Providers / Nutrition | 111NN1001X | 06.0064013 | Vermont |
Profile Details
| NPI number | 1750343992 |
|---|---|
| LBN Legal business name | Smith, Wayne Graham |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jul 13th, 2012 - 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 | 1750343992 | NPPES |
| South Carolina | MEDICAID | CH2393 | |
| South Carolina | MEDICAID | GCH365 | |
| South Carolina | Other | 001617502 |
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