Smits, William Lee
Smits, William Lee is an individual health care provider with primary practice located at 7222 Engle Road , Fort Wayne IN 46804-2222. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Smits, William Lee can be contacted via phone (260) 432-5005.Contact Information
Primary practice address
7222 Engle Road
Fort Wayne IN 46804-2222
Phone: (260) 432-5005
Fax: (260) 432-6003
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 01044372A | Indiana |
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 01044372A | Indiana |
Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 01044372A | Indiana |
Profile Details
NPI number | 1811950462 |
---|---|
LBN Legal business name | Smits, William Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2006 |
Last updated | Mar 14th, 2012 - about 13 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 | 1811950462 | NPPES |
Other | 352007446101 | CARESOURCE | |
Other | 030003428 | CARESOURCE | |
Other | 5470020 | CARESOURCE | |
Other | 000000005310 | CARESOURCE | |
Other | 000000092049 | CARESOURCE | |
Other | 10786190 | CARESOURCE | |
MEDICAID | 200062640 | CARESOURCE |
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