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Contact Information

CYNTHIA J SMITH, PC-C
1100 HOLLENBECK LN
DEER LODGE, MT59722-2317
 Phone: 406-846-2212
 Fax: 406-846-2212
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CYNTHIA J SMITH · (Female)

NPI Number 1013098326
Status Active
Credentials PC-C
Entity Individual
Enumeration date 10/17/2006
Last updated 08/07/2019 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • WA License # PA10005082
  • WA Medicaid 8497562
  • WA Other 7549CU BSWA
  • WA Other 0225526 LIWA
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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