Dudley, Samuel Washington
Dudley, Samuel Washington is an individual health care provider with primary practice located at 700 Children'S Drive , Columbus OH 43205-2664. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Dudley, Samuel Washington can be contacted via phone (614) 722-4554.Contact Information
Primary practice address
700 Children'S Drive
Columbus OH 43205-2664
Phone: (614) 722-4554
Fax: (614) 722-4565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | 35079310 | Ohio |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 35079310 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35079310 | Ohio |
Profile Details
| NPI number | 1669478459 |
|---|---|
| LBN Legal business name | Dudley, Samuel Washington |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2005 |
| Last updated | May 19th, 2025 - about last year |
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 | 1669478459 | NPPES |
| Ohio | MEDICAID | 0116931 |
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