Smith, Carol Ann
Smith, Carol Ann is an individual health care provider with primary practice located at 5950 University Avenue Ste 221, West Des Moines IA 50266. 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, Carol Ann can be contacted via phone (515) 875-9115.Contact Information
Primary practice address
5950 University Avenue Ste 221
West Des Moines IA 50266
Phone: (515) 875-9115
Fax: (515) 875-9117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1013 | Iowa |
Profile Details
| NPI number | 1659371623 |
|---|---|
| LBN Legal business name | Smith, Carol Ann |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Sep 19th, 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 | 1659371623 | NPPES |
| Iowa | MEDICAID | 0634816 |
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