Smith, Wendalyn
Smith, Wendalyn is an sole proprietor health care provider with primary practice located at 1090 Commerce Dr , Prescott AZ 86305-3700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith, Wendalyn can be contacted via phone (928) 583-1000.Contact Information
Primary practice address
1090 Commerce Dr
Prescott AZ 86305-3700
Phone: (928) 583-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34067 | Arizona |
Profile Details
| NPI number | 1598742330 |
|---|---|
| LBN Legal business name | Smith, Wendalyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jul 6th, 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.
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