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 / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35079310 Ohio
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 35079310 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 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 26th, 2021 - about 5 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 1669478459 NPPES
Ohio MEDICAID 0116931

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