Smith, Philip G

Smith, Philip G is an individual health care provider with primary practice located at 1100 Goethals Drive 2Nd Floor Kadlec Clinic General & Colorectal Surgery, Richland WA 99352-3304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Philip G can be contacted via phone (509) 942-3185.

Contact Information

Primary practice address
1100 Goethals Drive 2Nd Floor Kadlec Clinic General & Colorectal Surgery Richland WA 99352-3304
Phone: (509) 942-3185
Fax: (509) 946-1850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60119652 Washington

Profile Details

NPI number 1508966581
LBN Legal business name Smith, Philip G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Apr 1st, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508966581 NPPES
Washington MEDICAID 8563785
Washington MEDICAID 00G848590
Washington Other 258395

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