Smith, Garrett William
Smith, Garrett William is an sole proprietor health care provider with primary practice located at 2808 East Outer Dr , Marion IL 62959-5207. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Smith, Garrett William can be contacted via phone (618) 993-3817.Contact Information
Primary practice address
2808 East Outer Dr
Marion IL 62959-5207
Phone: (618) 993-3817
Fax: (618) 993-3908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 30314 | Tennessee |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209024498 | Illinois |
Profile Details
| NPI number | 1821766973 |
|---|---|
| LBN Legal business name | Smith, Garrett William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2021 |
| Last updated | Mar 9th, 2022 - about 4 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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