Smith, Jacqueline A

Smith, Jacqueline A is an individual health care provider with primary practice located at 424 Savannah Rd , Lewes DE 19958-1462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Smith, Jacqueline A can be contacted via phone (302) 645-3554.

Contact Information

Primary practice address
424 Savannah Rd Lewes DE 19958-1462
Phone: (302) 645-3554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C1-0011839 Delaware

Profile Details

NPI number 1245213651
LBN Legal business name Smith, Jacqueline A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Dec 21st, 2016 - about 10 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 1245213651 NPPES
Virginia MEDICAID 1245213651
Virginia MEDICAID 005884314

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