Smith, James

Smith, James is an individual health care provider with primary practice located at 664 Slate Ave , Owingsville KY 40360. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Smith, James can be contacted via phone (606) 674-6690.

Contact Information

Primary practice address
664 Slate Ave Owingsville KY 40360
Fax: (606) 674-6903
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1245417039
LBN Legal business name Smith, James
Credentials BPS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated Jan 24th, 2008 - about 18 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 1245417039 NPPES
Kentucky MEDICAID 30610026

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