Smith, Wesley Lincoln

Smith, Wesley Lincoln is an sole proprietor health care provider with primary practice located at 2500 E Van Buren St , Phoenix AZ 85008-6037. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Smith, Wesley Lincoln can be contacted via phone (480) 695-6625.

Contact Information

Primary practice address
2500 E Van Buren St Phoenix AZ 85008-6037
Phone: (480) 695-6625
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2616 Arizona
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 2616 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2616 Arizona

Profile Details

NPI number 1841358223
LBN Legal business name Smith, Wesley Lincoln
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Mar 17th, 2018 - about 8 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 1841358223 NPPES
Other AZ0724670 BCBS
MEDICAID 621822 BCBS

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