Smith, Robert

Smith, Robert is an individual health care provider with primary practice located at 416 Division St , South Charleston WV 25309-1456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smith, Robert can be contacted via phone (304) 766-7141.

Contact Information

Primary practice address
416 Division St South Charleston WV 25309-1456
Phone: (304) 766-7141
Fax: (304) 766-7143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 14970 Washington

Profile Details

NPI number 1003810581
LBN Legal business name Smith, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jul 8th, 2007 - about 19 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 1003810581 NPPES
West Virginia MEDICAID 0120020000

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