Smith, Clyde Wendell
Smith, Clyde Wendell is an individual health care provider with primary practice located at 44 S Main St , Randolph VT 05060-1381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Smith, Clyde Wendell can be contacted via phone (802) 728-7000.Contact Information
Primary practice address
44 S Main St
Randolph VT 05060-1381
Phone: (802) 728-7000
Fax: (802) 728-2394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0420010955 | Vermont |
Profile Details
| NPI number | 1164530416 |
|---|---|
| LBN Legal business name | Smith, Clyde Wendell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1164530416 | NPPES |
| Vermont | MEDICAID | 1003808 |
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