Smith, Jereme Stephen

Smith, Jereme Stephen is an individual health care provider with primary practice located at 440 Woodward Ave , Iron Mountain MI 49801-4631. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smith, Jereme Stephen can be contacted via phone (906) 776-9040.

Contact Information

Primary practice address
440 Woodward Ave Iron Mountain MI 49801-4631
Phone: (906) 776-9040
Fax: (906) 774-5950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007871 Michigan

Profile Details

NPI number 1487101531
LBN Legal business name Smith, Jereme Stephen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2016
Last updated Mar 18th, 2020 - about 5 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 1487101531 NPPES
Other 1137621 NATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS
Other 4679-23 NATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS

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