Agubosim, Samuel
Agubosim, Samuel is an sole proprietor health care provider with primary practice located at 1574 Henthorne Dr Suite C, Maumee OH 43537-1397. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Agubosim, Samuel can be contacted via phone (419) 794-1170.Contact Information
Primary practice address
1574 Henthorne Dr Suite C
Maumee OH 43537-1397
Phone: (419) 794-1170
Fax: (419) 794-1171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35074877 | Ohio |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 35074877 | Ohio |
Profile Details
| NPI number | 1467446682 |
|---|---|
| LBN Legal business name | Agubosim, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | May 2nd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467446682 | NPPES |
| Ohio | Other | 000000220323 | ANTHEM |
| Ohio | MEDICAID | 2132187 | ANTHEM |
| Ohio | Other | P00694361 | ANTHEM |
| Ohio | MEDICAID | 2873887 | ANTHEM |
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