Smith, Robert W

Smith, Robert W is an individual health care provider with primary practice located at 407 S White St Suite 103, Mt Pleasant IA 52641-2263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Smith, Robert W can be contacted via phone (319) 385-6770.

Contact Information

Primary practice address
407 S White St Suite 103 Mt Pleasant IA 52641-2263
Phone: (319) 385-6770
Fax: (319) 385-6765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 22105 West Virginia

Profile Details

NPI number 1710952833
LBN Legal business name Smith, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 15th, 2016 - about 10 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 1710952833 NPPES
West Virginia Other 000482949 BC/BS PAY TO #
West Virginia Other 001767862 BC/BS PAY TO #
West Virginia MEDICAID 3810001067 BC/BS PAY TO #
West Virginia Other WV22105 BC/BS PAY TO #
West Virginia MEDICAID 3810002521 BC/BS PAY TO #

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