Smith, Jennifer V.

Smith, Jennifer V. is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Smith, Jennifer V. can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-0002
Phone: (843) 792-1414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 85581 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 240874 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 240874 Massachusetts

Profile Details

NPI number 1386871028
LBN Legal business name Smith, Jennifer V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2009
Last updated Jan 25th, 2022 - about 4 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 1386871028 NPPES
Massachusetts MEDICAID 110100806A

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