Smith, Phaedra Jolene

Smith, Phaedra Jolene is an individual health care provider with primary practice located at 709 N High St , Mount Orab OH 45154-6501. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Smith, Phaedra Jolene can be contacted via phone (937) 444-6127.

Contact Information

Primary practice address
709 N High St Mount Orab OH 45154-6501
Fax: (937) 444-6192
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1427791235
LBN Legal business name Smith, Phaedra Jolene
Credentials HIGH SCHOOL DIPLOMA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2022
Last updated May 24th, 2022 - about 4 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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