Individual
JERRY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2125 N SHERRI LIN CT APT G, APPLETON, WI 54914-1873
(920) 915-6832
Mailing address
2125 N SHERRI LIN CT APT G, APPLETON, WI 54914-1873
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5356-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2407309421
—
WI
Enumeration date
05/02/2017
Last updated
05/02/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us