Smith, Wesley Omar
Smith, Wesley Omar is an individual health care provider with primary practice located at 1780 Mcfarland Blvd N , Tuscaloosa AL 35406-2136. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Smith, Wesley Omar can be contacted via phone (205) 345-7351.Contact Information
Primary practice address
1780 Mcfarland Blvd N
Tuscaloosa AL 35406-2136
Phone: (205) 345-7351
Fax: (205) 345-8476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 5726 | Alabama |
Profile Details
| NPI number | 1093771180 |
|---|---|
| LBN Legal business name | Smith, Wesley Omar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093771180 | NPPES |
| Alabama | MEDICAID | 529800880 |
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