Mr Sean Arthur Smith, is a
Licensed Vocational Nurse based in Lakeside, California. Mr Sean Arthur Smith is licensed to practice in California (license number 689343) and his current practice location is
11962 Woodside Ave, Lakeside, California. He can be reached at his office (for appointments etc.) via phone at
(619) 561-1222.
NPI number for Mr Sean Arthur Smith is 1477184919 and his current mailing address is 11962 Woodside Ave, Lakeside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477184919.
Provider's Profile
| Full Name | Mr Sean Arthur Smith |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 11962 Woodside Ave, Lakeside, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477184919
- Provider Enumeration Date: 02/03/2020
- Last Update Date: 01/05/2023
Medical Identifiers
Medical identifiers for Mr Sean Arthur Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477184919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 689343 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Sean Arthur Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Sean Arthur Smith,
11962 Woodside Ave,
Lakeside, CA 92040-2914
Ph: (619) 561-1222 | Mr Sean Arthur Smith,
11962 Woodside Ave,
Lakeside, CA 92040-2914
Ph: (619) 561-1222 |
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