Smith, William A

Smith, William A is an sole proprietor health care provider with primary practice located at 306 E Maumee St Ste 201 , Angola IN 46703-2035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Smith, William A can be contacted via phone (260) 667-2600.

Contact Information

Primary practice address
306 E Maumee St Ste 201 Angola IN 46703-2035
Fax: (260) 665-7312
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01051461 Indiana

Profile Details

NPI number 1699739672
LBN Legal business name Smith, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Apr 1st, 2021 - about 4 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 1699739672 NPPES
Indiana Other 000000672898 ANTHEM
Indiana Other 01051461 ANTHEM
Indiana MEDICAID 200248720A ANTHEM

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