Smith, Jarvis Wilton
Smith, Jarvis Wilton is an individual health care provider with primary practice located at 1234 Huffman Mill Rd , Burlington NC 27215-8700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Jarvis Wilton can be contacted via phone (336) 538-1234.Contact Information
Primary practice address
1234 Huffman Mill Rd
Burlington NC 27215-8700
Phone: (336) 538-1234
Fax: (336) 538-2390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 29174 | North Carolina |
Profile Details
| NPI number | 1760402713 |
|---|---|
| LBN Legal business name | Smith, Jarvis Wilton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jan 30th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760402713 | NPPES |
| North Carolina | MEDICAID | 8911807 |
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