Smith, Jevin Allen
Smith, Jevin Allen is an individual health care provider with primary practice located at 525 Western Ave Suite 201, Conway AR 72034-4967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Smith, Jevin Allen can be contacted via phone (501) 327-6665.Contact Information
Primary practice address
525 Western Ave Suite 201
Conway AR 72034-4967
Phone: (501) 327-6665
Fax: (501) 730-0289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | E-5962 | Arkansas |
Profile Details
| NPI number | 1346469681 |
|---|---|
| LBN Legal business name | Smith, Jevin Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Dec 4th, 2009 - about 17 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 | 1346469681 | NPPES |
| Other | 5H894 | BCBS | |
| Other | E-5962 | BCBS |
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