Smithton, Corby Wade

Smithton, Corby Wade is an individual health care provider with primary practice located at 1921 W 6Th Ave , Stillwater OK 74074-4204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smithton, Corby Wade can be contacted via phone (405) 533-1474.

Contact Information

Primary practice address
1921 W 6Th Ave Stillwater OK 74074-4204
Phone: (405) 533-1474
Fax: (405) 742-4990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3789 Oklahoma

Profile Details

NPI number 1366437246
LBN Legal business name Smithton, Corby Wade
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jul 13th, 2011 - about 14 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 1366437246 NPPES
Oklahoma MEDICAID 100119580A

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