Smithwick, Walter
Smithwick, Walter is an individual health care provider with primary practice located at 2535 Riverside Ave , Jacksonville FL 32204-4710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smithwick, Walter can be contacted via phone (904) 388-6548.Contact Information
Primary practice address
2535 Riverside Ave
Jacksonville FL 32204-4710
Phone: (904) 388-6548
Fax: (904) 389-8157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 75330 | Florida |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME75330 | Florida |
Profile Details
| NPI number | 1144292202 |
|---|---|
| LBN Legal business name | Smithwick, Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jan 16th, 2019 - about 5 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 | 1144292202 | NPPES |
| Georgia | MEDICAID | 000895199B | |
| Georgia | MEDICAID | 2547864-00 |
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