Smith Maxey, Shannon Lea
Smith Maxey, Shannon Lea is an individual health care provider with primary practice located at 2585 3Rd Avenue , Huntington WV 25703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith Maxey, Shannon Lea can be contacted via phone (304) 781-5138.Contact Information
Primary practice address
2585 3Rd Avenue
Huntington WV 25703
Phone: (304) 781-5138
Fax: (304) 697-2086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22344 | West Virginia |
Profile Details
| NPI number | 1669403093 |
|---|---|
| LBN Legal business name | Smith Maxey, Shannon Lea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Mar 16th, 2016 - about 10 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 | 1669403093 | NPPES |
| West Virginia | MEDICAID | 3810005791 | |
| West Virginia | MEDICAID | 2667038 |
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