Smith, Ronald Steven

Smith, Ronald Steven is an individual health care provider with primary practice located at 1920 Brookside Dr Ste 12, Kingsport TN 37660-4613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Smith, Ronald Steven can be contacted via phone (423) 392-6521.

Contact Information

Primary practice address
1920 Brookside Dr Ste 12 Kingsport TN 37660-4613
Phone: (423) 392-6521
Fax: (423) 392-6511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD0000013797 Tennessee

Profile Details

NPI number 1649363425
LBN Legal business name Smith, Ronald Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - 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 1649363425 NPPES
Virginia Other 069098 BCVA
Virginia Other 0018152 BCVA
Virginia MEDICAID 3189819 BCVA

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