Smith, Joel S

Smith, Joel S is an individual health care provider with primary practice located at 6401 Mountain View Road Suite 101, Ooltewah TN 37363. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Smith, Joel S can be contacted via phone (423) 495-5951.

Contact Information

Primary practice address
6401 Mountain View Road Suite 101 Ooltewah TN 37363
Phone: (423) 495-5951
Fax: (423) 495-5999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000012157 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 12157 Tennessee

Profile Details

NPI number 1134239270
LBN Legal business name Smith, Joel S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 4th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134239270 NPPES
Alabama MEDICAID 891017510

Popular Providers