Smith, Wendy E

Smith, Wendy E is an individual health care provider with primary practice located at 1577 Congress St 2Nd Floor, Portland ME 04102-2169. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Smith, Wendy E can be contacted via phone (207) 662-1622.

Contact Information

Primary practice address
1577 Congress St 2Nd Floor Portland ME 04102-2169
Phone: (207) 662-1622
Fax: (207) 774-1814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD15492 Maine
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD15492 Maine

Profile Details

NPI number 1730239153
LBN Legal business name Smith, Wendy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 25th, 2012 - about 13 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 1730239153 NPPES
New Hampshire MEDICAID 30201383
New Hampshire MEDICAID 246790099

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