Smith, Wendel J
Smith, Wendel J is an sole proprietor health care provider with primary practice located at 3015 N 33Rd St , Tacoma WA 98407-6420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Smith, Wendel J can be contacted via phone (253) 759-8500.Contact Information
Primary practice address
3015 N 33Rd St
Tacoma WA 98407-6420
Phone: (253) 759-8500
Fax: (253) 200-0907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD00036712 | Washington |
Profile Details
| NPI number | 1043256779 |
|---|---|
| LBN Legal business name | Smith, Wendel J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Feb 19th, 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 | 1043256779 | NPPES |
| Washington | Other | 0191192 | STATE L&I |
| Washington | MEDICAID | 8231649 | STATE L&I |
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