Smith, Vincent Charles

Smith, Vincent Charles is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607-7505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Smith, Vincent Charles can be contacted via phone (919) 784-3040.

Contact Information

Primary practice address
4420 Lake Boone Trl Raleigh NC 27607-7505
Phone: (919) 784-3040
Fax: (919) 784-3362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X North Carolina

Profile Details

NPI number 1558338475
LBN Legal business name Smith, Vincent Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 15th, 2008 - 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 1558338475 NPPES
North Carolina Other 132PU BCBS
North Carolina MEDICAID 89132PU BCBS

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