Smith, Rex D

Smith, Rex D is an individual health care provider with primary practice located at 1060 Chambers St , Eugene OR 97402-3745. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Smith, Rex D can be contacted via phone (541) 342-3373.

Contact Information

Primary practice address
1060 Chambers St Eugene OR 97402-3745
Fax: (541) 342-3374
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP00142 Oregon

Profile Details

NPI number 1649384298
LBN Legal business name Smith, Rex D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Mar 5th, 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 1649384298 NPPES
Oregon MEDICAID 22733-0
Oregon Other 831296000

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