Smith, Ian

Smith, Ian is an sole proprietor health care provider with primary practice located at 1800 Fort Washington Ave , Maple Glen PA 19002-3025. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, 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, Ian can be contacted via phone (215) 407-7643.

Contact Information

Primary practice address
1800 Fort Washington Ave Maple Glen PA 19002-3025
Phone: (215) 407-7643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.1686630 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN.0998313-CRNA Colorado
Nursing Service Providers / Registered Nurse 163W00000X PA669910 Pennsylvania

Profile Details

NPI number 1750090759
LBN Legal business name Smith, Ian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2022
Last updated Jan 7th, 2023 - about 2 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 1750090759 NPPES
Colorado MEDICAID 1992

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