Smith, Amy S
Smith, Amy S is an individual health care provider with primary practice located at 205 Hospital Dr Suite A, Mc Kenzie TN 38201-1649. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Smith, Amy S can be contacted via phone (731) 352-7907.Contact Information
Primary practice address
205 Hospital Dr Suite A
Mc Kenzie TN 38201-1649
Phone: (731) 352-7907
Fax: (731) 352-4459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1750504312 |
|---|---|
| LBN Legal business name | Smith, Amy S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jul 3rd, 2024 - about 2 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 | 1750504312 | NPPES |
| Tennessee | Other | 3380640 | GROUP MEDICARE NUMBER |
| Tennessee | MEDICAID | Q003540 | GROUP MEDICARE NUMBER |
| Tennessee | Other | 3380640 | GROUP MEDICARE NUMBER |
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