Smith, Chester L

Smith, Chester L is an individual health care provider with primary practice located at 369 E Brown St , East Stroudsburg PA 18301-9101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Smith, Chester L can be contacted via phone (570) 421-6040.

Contact Information

Primary practice address
369 E Brown St East Stroudsburg PA 18301-9101
Phone: (570) 421-6040
Fax: (570) 421-2077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD021318E Pennsylvania

Profile Details

NPI number 1003813585
LBN Legal business name Smith, Chester L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Mar 2nd, 2020 - about 6 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 1003813585 NPPES
Pennsylvania Other 083358 BLUE SHIELD
Pennsylvania MEDICAID 0006701240001 BLUE SHIELD

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