Smith, Renee
Smith, Renee is an individual health care provider with primary practice located at 1 Medical Center Blvd Pob I Suite 400, Chester PA 19013-3902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Renee can be contacted via phone (610) 876-2400.Contact Information
Primary practice address
1 Medical Center Blvd Pob I Suite 400
Chester PA 19013-3902
Phone: (610) 876-2400
Fax: (610) 876-4308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA001153L | Pennsylvania |
Profile Details
| NPI number | 1871633107 |
|---|---|
| LBN Legal business name | Smith, Renee |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Feb 20th, 2017 - about 9 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 | 1871633107 | NPPES |
| Pennsylvania | MEDICAID | 103198302 0001 |
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