1437257755 NPI number — RACHAEL SMITH D.O.

Table of content: RACHAEL SMITH D.O. (NPI 1437257755)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437257755 NPI number — RACHAEL SMITH D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SMITH
Provider First Name:
RACHAEL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437257755
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/29/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 BANNING ST
Provider Second Line Business Mailing Address:
SUITE 350
Provider Business Mailing Address City Name:
DOVER
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19904-3485
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-730-8848
Provider Business Mailing Address Fax Number:
302-730-8846

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 BANNING ST
Provider Second Line Business Practice Location Address:
SUITE 350
Provider Business Practice Location Address City Name:
DOVER
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19904-3485
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-730-8848
Provider Business Practice Location Address Fax Number:
302-730-8846
Provider Enumeration Date:
09/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2081P2900X , with the licence number:  C20006220 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P3437216 . This is a "OXFORD HEALTH PLAN" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 386606954 . This is a "BC/BS" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 0001137603 . This is a "DE PHYSICIANS CARE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 190991 . This is a "COVENTRY" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 3217896 . This is a "AETNA - HMO" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 395302 . This is a "MIAMI, OPTIMUM CHOICE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: P00162142 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 9904178 . This is a "CIGNA" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 0001137603 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7428307 . This is a "AETNA - PPO" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 510329923 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com