Christian, Samuel A.

Christian, Samuel A. is an individual health care provider with primary practice located at 1370 13Th Avenue, South Suite 118, Jacksonville Beach FL 32250-3206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Christian, Samuel A. can be contacted via phone (904) 247-1456.

Contact Information

Primary practice address
1370 13Th Avenue, South Suite 118 Jacksonville Beach FL 32250-3206
Phone: (904) 247-1456
Fax: (904) 247-2281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME25672 Florida

Profile Details

NPI number 1841251949
LBN Legal business name Christian, Samuel A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Sep 27th, 2012 - about 14 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 1841251949 NPPES
Florida MEDICAID 041409300

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