Smollock, Wendy Ann

Smollock, Wendy Ann is an individual health care provider with primary practice located at 600 Clements Bridge Road , Barrington NJ 08007-1814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smollock, Wendy Ann can be contacted via phone (856) 547-8000.

Contact Information

Primary practice address
600 Clements Bridge Road Barrington NJ 08007-1814
Phone: (856) 547-8000
Fax: (856) 547-8020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NN10540600 New Jersey

Profile Details

NPI number 1164453809
LBN Legal business name Smollock, Wendy Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 19th, 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 1164453809 NPPES
New Jersey MEDICAID 8744905
New Jersey Other 500030339

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