Smith, Caldwell Withers
Smith, Caldwell Withers is an individual health care provider with primary practice located at 690 Eddy St , Providence RI 02903-4928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smith, Caldwell Withers can be contacted via phone (401) 274-5844.Contact Information
Primary practice address
690 Eddy St
Providence RI 02903-4928
Phone: (401) 274-5844
Fax: (401) 274-9462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD5399 | Rhode Island |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 38194 | Massachusetts |
Profile Details
| NPI number | 1538165659 |
|---|---|
| LBN Legal business name | Smith, Caldwell Withers |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Sep 20th, 2011 - about 15 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 | 1538165659 | NPPES |
| Rhode Island | MEDICAID | 7000375 | |
| Rhode Island | MEDICAID | 614552 |
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