Smith, Deborah Jane
Smith, Deborah Jane is an individual health care provider with primary practice located at 1007 N Pope St , Silver City NM 88061-5161. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Smith, Deborah Jane can be contacted via phone (575) 388-1511.Contact Information
Primary practice address
1007 N Pope St
Silver City NM 88061-5161
Phone: (575) 388-1511
Fax: (575) 388-3465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | LD-0803 | New Mexico |
Profile Details
| NPI number | 1629371034 |
|---|---|
| LBN Legal business name | Smith, Deborah Jane |
| Credentials | LD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2010 |
| Last updated | Sep 2nd, 2014 - about 12 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 | 1629371034 | NPPES |
| Other | NMAAA0103 | MEDICARE PTAN | |
| MEDICAID | 98633708 | MEDICARE PTAN |
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