Deem, Samuel Gray
Deem, Samuel Gray is an individual health care provider with primary practice located at 3100 Maccorkle Ave Se Suite 602, Charleston WV 25304-1223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Deem, Samuel Gray can be contacted via phone (304) 388-5120.Contact Information
Primary practice address
3100 Maccorkle Ave Se Suite 602
Charleston WV 25304-1223
Phone: (304) 388-5120
Fax: (304) 388-5125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 2176 | West Virginia |
Profile Details
| NPI number | 1700909702 |
|---|---|
| LBN Legal business name | Deem, Samuel Gray |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Dec 14th, 2015 - about 11 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 | 1700909702 | NPPES |
| West Virginia | Other | P01087428 | RAILROAD MEDICARE |
| West Virginia | MEDICAID | 3810010649 | RAILROAD MEDICARE |
Popular Providers
-
Fitzwater, Ryan H.
1201 Washington St E Suite 105, Charleston WV 25301-1834 -
Stencel, Michael G
1220 Lee St E Ste 100 , Charleston WV 25301-1864 -
Sankari, Bashir R.
501 Morris Street, 5 West Camc Renal Transplant Center, Charleston WV 25301 -
Hannah, John Walton
4610 Kanawha Ave Sw Ste 401 , South Charleston WV 25309-1367 -
Bakule, Paul T
787 37Th St Ste E130, Vero Beach FL 32960-7313 -
Butcher, Victoria
11 Courtney Dr , Charleston WV 25304-2699 -
Mani, John Henry
4610 Kanawha Ave Sw Ste 401 , South Charleston WV 25309-1367 -
Kurusu, Shozo
1313 Quarrier St , Charleston WV 25301-6002