Antoine, Samuel George

Antoine, Samuel George is an individual health care provider with primary practice located at 280 Exempla Cir , Lafayette CO 80026-3370. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Antoine, Samuel George can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
280 Exempla Cir Lafayette CO 80026-3370
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X DR.0071436 Colorado

Profile Details

NPI number 1659878353
LBN Legal business name Antoine, Samuel George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2018
Last updated Jul 28th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659878353 NPPES
Colorado Other 029395 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 9000162693 KAISER COMMERCIAL NUMBER

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