Smith, Jason Wayne

Smith, Jason Wayne is an individual health care provider with primary practice located at 401 E Chestnut St Suite 710, Louisville KY 40202-5700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Smith, Jason Wayne can be contacted via phone (502) 583-8303.

Contact Information

Primary practice address
401 E Chestnut St Suite 710 Louisville KY 40202-5700
Phone: (502) 583-8303
Fax: (502) 584-0302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 41807 Kentucky
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 41807 Kentucky

Profile Details

NPI number 1023225729
LBN Legal business name Smith, Jason Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Oct 17th, 2016 - about 9 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 1023225729 NPPES
Kentucky MEDICAID 7100053850

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