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Contact Information

CARLA S SMITH, CNS
1005 BROADWAY ST
QUINCY, IL62301-2834
 Phone: 217-223-8400
 Fax: 217-214-5675
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oncology

364SX0200X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for CARLA S SMITH · (Female)

NPI Number 1124629035
Status Active
Credentials CNS
Entity Individual
Enumeration date 11/06/2020
Last updated 11/06/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 209.000880
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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