Smith, Nicole K
Smith, Nicole K is an individual health care provider with primary practice located at 40 V Twin Dr Ste 202, Gettysburg PA 17325-1926. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Smith, Nicole K can be contacted via phone (717) 339-2710.Contact Information
Primary practice address
40 V Twin Dr Ste 202
Gettysburg PA 17325-1926
Phone: (717) 339-2710
Fax: (717) 339-2711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA050968 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA050968 | Pennsylvania |
Profile Details
| NPI number | 1003986878 |
|---|---|
| LBN Legal business name | Smith, Nicole K |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1003986878 | NPPES |
| Pennsylvania | Other | 1602843 | GATEWAY MEDICARE ASSURED |
| Pennsylvania | Other | 2566850 | GATEWAY MEDICARE ASSURED |
| Pennsylvania | Other | MA05096A | GATEWAY MEDICARE ASSURED |
| Pennsylvania | MEDICAID | 00549500 | GATEWAY MEDICARE ASSURED |
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