Smith, Delia A

Smith, Delia A is an sole proprietor health care provider with primary practice located at 24 Myrtle St , Medford OR 97504-7338. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Smith, Delia A can be contacted via phone (541) 621-9373.

Contact Information

Primary practice address
24 Myrtle St Medford OR 97504-7338
Phone: (541) 621-9373
Fax: (866) 746-1959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3776 Oregon

Profile Details

NPI number 1588635536
LBN Legal business name Smith, Delia A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2006
Last updated Dec 20th, 2018 - about 8 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 1588635536 NPPES
Oregon Other 840221000 REGENCE BLUE CROSS
Oregon Other 227906 REGENCE BLUE CROSS
Oregon Other 11260502 REGENCE BLUE CROSS

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