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Contact Information

JUDITH L SMITH, PA-C
22818 OLD US 20
COMMUNITY OCCUPATIONAL MEDICINE
ELKHART, IN46516
 Phone: 574-389-1231
 Fax: 574-389-1232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JUDITH L SMITH · (Female)

NPI Number 1124115795
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/06/2006
Last updated 09/18/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 10000535A
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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