Smyth, R Louise
Smyth, R Louise is an individual health care provider with primary practice located at 900 Illinois Avenue , Stevens Point WI 54481. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smyth, R Louise can be contacted via phone (715) 346-5000.Contact Information
Primary practice address
900 Illinois Avenue
Stevens Point WI 54481
Phone: (715) 346-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36863 | Wisconsin |
Profile Details
| NPI number | 1639206485 |
|---|---|
| LBN Legal business name | Smyth, R Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1639206485 | NPPES |
| Wisconsin | MEDICAID | 32183700 |
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