Smith, William Richard
Smith, William Richard is an individual health care provider with primary practice located at 1540 Florida Ave # 100, Modesto CA 95350-4430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Smith, William Richard can be contacted via phone (209) 577-5557.Contact Information
Primary practice address
1540 Florida Ave # 100
Modesto CA 95350-4430
Phone: (209) 577-5557
Fax: (209) 577-8125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | C29536 | California |
Profile Details
| NPI number | 1750321717 |
|---|---|
| LBN Legal business name | Smith, William Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1750321717 | NPPES |
| California | MEDICAID | ZZZ76734Z |
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