Smithwick, Walter

Smithwick, Walter is an individual health care provider with primary practice located at 2535 Riverside Ave , Jacksonville FL 32204-4710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smithwick, Walter can be contacted via phone (904) 388-6548.

Contact Information

Primary practice address
2535 Riverside Ave Jacksonville FL 32204-4710
Phone: (904) 388-6548
Fax: (904) 389-8157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 75330 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME75330 Florida

Profile Details

NPI number 1144292202
LBN Legal business name Smithwick, Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jan 16th, 2019 - about 7 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 1144292202 NPPES
Georgia MEDICAID 000895199B
Georgia MEDICAID 2547864-00

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