Echeverri, Samuel David
Echeverri, Samuel David is an individual health care provider with primary practice located at 435 South St Ste 230B , Morristown NJ 07960-6477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Echeverri, Samuel David can be contacted via phone (973) 267-2838.Contact Information
Primary practice address
435 South St Ste 230B
Morristown NJ 07960-6477
Phone: (973) 267-2838
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA09131000 | New Jersey |
Profile Details
| NPI number | 1174874481 |
|---|---|
| LBN Legal business name | Echeverri, Samuel David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2012 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1174874481 | NPPES |
| New Jersey | Other | 25MA09131000 | MEDICAL LICENSE |
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