Smith, William Richard

Smith, William Richard is an individual health care provider with primary practice located at 1540 Florida Ave # 100, Modesto CA 95350-4430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Smith, William Richard can be contacted via phone (209) 577-5557.

Contact Information

Primary practice address
1540 Florida Ave # 100 Modesto CA 95350-4430
Phone: (209) 577-5557
Fax: (209) 577-8125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X C29536 California

Profile Details

NPI number 1750321717
LBN Legal business name Smith, William Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1750321717 NPPES
California MEDICAID ZZZ76734Z

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