Smith, Tina Marie
Smith, Tina Marie is an individual health care provider with primary practice located at 900 Trailwood Dr , Boardman OH 44512-5007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Tina Marie can be contacted via phone (330) 726-2575.Contact Information
Primary practice address
900 Trailwood Dr
Boardman OH 44512-5007
Phone: (330) 726-2575
Fax: (330) 726-7789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50002885 | Ohio |
Profile Details
| NPI number | 1952543738 |
|---|---|
| LBN Legal business name | Smith, Tina Marie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2009 |
| Last updated | Apr 25th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952543738 | NPPES |
| Ohio | MEDICAID | 0067638 |
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