Smith, Jeffrery Scott

Smith, Jeffrery Scott is an individual health care provider with primary practice located at 222 Acacia St , Fairfield CA 94533-3800. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Smith, Jeffrery Scott can be contacted via phone (707) 421-2095.

Contact Information

Primary practice address
222 Acacia St Fairfield CA 94533-3800
Phone: (707) 421-2095
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 16012 California

Profile Details

NPI number 1053470534
LBN Legal business name Smith, Jeffrery Scott
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Mar 12th, 2024 - about 2 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 1053470534 NPPES
California MEDICAID PT0097610

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