Smith, Willie W

Smith, Willie W is an individual health care provider with primary practice located at 1521 Maplewood Ave , Ronceverte WV 24970-8026. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smith, Willie W can be contacted via phone (304) 647-5642.

Contact Information

Primary practice address
1521 Maplewood Ave Ronceverte WV 24970-8026
Phone: (304) 647-5642
Fax: (304) 793-5643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 01526 West Virginia

Profile Details

NPI number 1902231830
LBN Legal business name Smith, Willie W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2013
Last updated Sep 16th, 2020 - about 6 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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