Smith, James R

Smith, James R is an sole proprietor health care provider with primary practice located at 2871 Heinz Rd Ste 'B', Iowa City IA 52240-8196. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Smith, James R can be contacted via phone (319) 936-6248.

Contact Information

Primary practice address
2871 Heinz Rd Ste 'B' Iowa City IA 52240-8196
Phone: (319) 936-6248
Fax: (319) 351-0070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 02512 Iowa
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 02512 Iowa
Behavioral Health & Social Service Providers / Professional 101YP2500X 02512 Iowa

Profile Details

NPI number 1912043415
LBN Legal business name Smith, James R
Credentials MSW, LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jun 6th, 2013 - about 12 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 1912043415 NPPES
Iowa MEDICAID 1912043415
Iowa MEDICAID 1962555003

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