Smithton, Corby Wade
Smithton, Corby Wade is an individual health care provider with primary practice located at 1921 W 6Th Ave , Stillwater OK 74074-4204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smithton, Corby Wade can be contacted via phone (405) 533-1474.Contact Information
Primary practice address
1921 W 6Th Ave
Stillwater OK 74074-4204
Phone: (405) 533-1474
Fax: (405) 742-4990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3789 | Oklahoma |
Profile Details
| NPI number | 1366437246 |
|---|---|
| LBN Legal business name | Smithton, Corby Wade |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Jul 13th, 2011 - about 15 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 | 1366437246 | NPPES |
| Oklahoma | MEDICAID | 100119580A |
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