Smith, Nanci Rose
Smith, Nanci Rose is an individual health care provider with primary practice located at 175 W B St Building I, Springfield OR 97477-4575. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Nanci Rose can be contacted via phone (541) 988-1025.Contact Information
Primary practice address
175 W B St Building I
Springfield OR 97477-4575
Phone: (541) 988-1025
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1003005455 |
|---|---|
| LBN Legal business name | Smith, Nanci Rose |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2007 |
| Last updated | Oct 22nd, 2007 - 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 | 1003005455 | NPPES |
| Oregon | MEDICAID | 241382 |
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