Smithwick, Susan J

Smithwick, Susan J is an individual health care provider with primary practice located at 4301 W Markham St , Little Rock AR 72205-7101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Smithwick, Susan J can be contacted via phone (501) 603-1278.

Contact Information

Primary practice address
4301 W Markham St Little Rock AR 72205-7101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X A02901 Arkansas

Profile Details

NPI number 1922172790
LBN Legal business name Smithwick, Susan J
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Feb 21st, 2008 - about 16 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 1922172790 NPPES
Arkansas Other P00382993 RAILROAD MEDICARE

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