Smith, Peter R.

Smith, Peter R. is an individual health care provider with primary practice located at 511 Park Hill Dr , Fredericksburg VA 22401-3377. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Smith, Peter R. can be contacted via phone (540) 371-5660.

Contact Information

Primary practice address
511 Park Hill Dr Fredericksburg VA 22401-3377
Phone: (540) 371-5660
Fax: (540) 372-6920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 0101022178 Virginia

Profile Details

NPI number 1336139260
LBN Legal business name Smith, Peter R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2005
Last updated Mar 6th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336139260 NPPES
Virginia MEDICAID 7603924
Virginia Other 2041934001
Virginia Other 2542332
Virginia Other 7037246
Virginia Other 140954
Virginia Other J063-0001
Virginia Other 102826
Virginia Other 02-00161
Virginia Other 67112

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