Smith, Carolyn Yvonne

Smith, Carolyn Yvonne is an sole proprietor health care provider with primary practice located at 850 N Pierce St Ste C, Lafayette LA 70501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Smith, Carolyn Yvonne can be contacted via phone (337) 289-5668.

Contact Information

Primary practice address
850 N Pierce St Ste C Lafayette LA 70501
Phone: (337) 289-5668
Fax: (337) 289-5670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 11945R Louisiana
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 11945R Louisiana

Profile Details

NPI number 1811969074
LBN Legal business name Smith, Carolyn Yvonne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2006
Last updated Dec 15th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811969074 NPPES
Louisiana MEDICAID 1683809
Louisiana Other 3754206001
Louisiana Other 990014210

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