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NPI Code Detail

MEDICARE: JONATHAN ERIK SMITH L.AC

MEDICARE: JONATHAN ERIK SMITH L.AC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist10118

General Provider Information

NPI Number : 1538208939
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN ERIK SMITH L.AC
Provider Business Mailing Address
First Line : 2958 STATE ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-3418
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2958 STATE ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-3418
Country : US
Telephone Number : 805-687-7775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 07/08/2007

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