Smith, Wilburn Jackson
Smith, Wilburn Jackson is an individual health care provider with primary practice located at 740 S Limestone , Lexington KY 40536-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Smith, Wilburn Jackson can be contacted via phone (859) 323-6211.Contact Information
Primary practice address
740 S Limestone
Lexington KY 40536-0001
Phone: (859) 323-6211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 30888 | Kentucky |
Profile Details
| NPI number | 1023162492 |
|---|---|
| LBN Legal business name | Smith, Wilburn Jackson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Apr 17th, 2008 - about 17 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 | 1023162492 | NPPES |
| Kentucky | MEDICAID | 64308885 |
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