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Contact Information

JOHNNY R SMITH, RN
2301 S EIGHT TRIBES TRL
MIAMI, OK74354-1009
 Phone: 918-542-1655
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for JOHNNY R SMITH · (Male)

NPI # 1114222809
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 01/11/2011
Last updated 01/11/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OK License # R0074090
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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