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Contact Information

VANESSA J SMITH, PA-C
1210 W 18TH ST
STE G01
SIOUX FALLS, SD57104-4651
 Phone: 605-328-2663
 Fax: 605-328-3760
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Athletic Trainer

2255A2300X
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

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

NPI # 1376629519
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/31/2006
Last updated 03/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 1308
  • MN License # 1976
  • SD License # 0801
Hospital affiliation(s)
  • SANFORD USD MEDICAL CENTER - (Acute Care)
    1305 W 18TH ST POST OFFICE BOX 5039
    SIOUX FALLS, SD 57117
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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