Smith, Johnny Dwayne
Smith, Johnny Dwayne is an individual health care provider with primary practice located at 11 N Locust St , Buckhannon WV 26201-2231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Johnny Dwayne can be contacted via phone (304) 472-1600.Contact Information
Primary practice address
11 N Locust St
Buckhannon WV 26201-2231
Phone: (304) 472-1600
Fax: (304) 472-6055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1672 | West Virginia |
Profile Details
| NPI number | 1043239817 |
|---|---|
| LBN Legal business name | Smith, Johnny Dwayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Oct 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043239817 | NPPES |
| West Virginia | Other | 001721765 | MOUNTAIN STATE BCBS |
| West Virginia | Other | WV01672 | MOUNTAIN STATE BCBS |
| West Virginia | MEDICAID | 3810001252 | MOUNTAIN STATE BCBS |
| West Virginia | Other | P00154078 | MOUNTAIN STATE BCBS |
| West Virginia | Other | 001721766 | MOUNTAIN STATE BCBS |
Popular Providers
-
Chua, Sara
1 Amalia Dr , Buckhannon WV 26201-2239 -
Groves, Stephen
1 Amalia Dr , Buckhannon WV 26201-2239 -
Mathias, John A.
1 Amalia Dr , Buckhannon WV 26201-2239 -
Moxley, Clyde G.
10 Amalia Dr Suite B-1, Buckhannon WV 26201-2271 -
Mills, John O
1 Amalia Dr , Buckhannon WV 26201-2239 -
Hartman, Ira Franklin
11 N Locust St , Buckhannon WV 26201-2231 -
O'Loughlin, Gerard J.
1 Amalia Dr , Buckhannon WV 26201-2239 -
Miranda, Roberto
1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121