Smith, Robert John

Smith, Robert John is an individual health care provider with primary practice located at 650 Joel Dr Managed Care Division, Fort Campbell KY 42223-5318. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Smith, Robert John can be contacted via phone (270) 798-8766.

Contact Information

Primary practice address
650 Joel Dr Managed Care Division Fort Campbell KY 42223-5318
Fax: (630) 570-5225
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN0000049998 Tennessee

Profile Details

NPI number 1992760631
LBN Legal business name Smith, Robert John
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 17th, 2024 - about 2 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 1992760631 NPPES
Tennessee Other LPN0000049998 NURSING LICENSE

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