Smith, Clayton N

Smith, Clayton N is an sole proprietor health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1801. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Smith, Clayton N can be contacted via phone (909) 580-1000.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1801
Phone: (909) 580-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95035744 California
Nursing Service Providers / Critical Care Medicine 163WC0200X 95035744 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 95000498 California

Profile Details

NPI number 1649643412
LBN Legal business name Smith, Clayton N
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2015
Last updated Mar 14th, 2016 - about 10 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 1649643412 NPPES
California Other 95000498 CERTIFIED REGISTERED NURSE ANESTHETIST
California Other 95035744 CERTIFIED REGISTERED NURSE ANESTHETIST

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