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Contact Information

PHILLIP T SMITH, PA-C
1 N BROOKWOOD AVE
HAMILTON, OH45013
 Phone: 513-805-4499
 Fax: 513-805-4499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PHILLIP T SMITH · (Male)

NPI Number 1306823802
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/27/2005
Last updated 09/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MS License # PA074
  • OH License # 50.003797RX
  • OH Medicaid 0090172
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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