Smoot, Jeanne Betz

Smoot, Jeanne Betz is an individual health care provider with primary practice located at 915 Toll House Ave Ste 103 , Frederick MD 21701-5911. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Smoot, Jeanne Betz can be contacted via phone (410) 328-6403.

Contact Information

Primary practice address
915 Toll House Ave Ste 103 Frederick MD 21701-5911
Phone: (410) 328-6403
Fax: (410) 328-6405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R112789 Maryland
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X R112789 Maryland

Profile Details

NPI number 1477595916
LBN Legal business name Smoot, Jeanne Betz
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Apr 17th, 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 1477595916 NPPES
Maryland Other 613335-01 BLUE CROSS/BLUE SHIELD
Maryland MEDICAID 699065700 BLUE CROSS/BLUE SHIELD

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