Longfellow, Samuel

Longfellow, Samuel is an sole proprietor health care provider with primary practice located at 902 Lakeview Ave , Pueblo CO 81004-3597. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Longfellow, Samuel can be contacted via phone (719) 557-5872.

Contact Information

Primary practice address
902 Lakeview Ave Pueblo CO 81004-3597
Phone: (719) 557-5872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0057381 Colorado
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0057381 Colorado

Profile Details

NPI number 1851771943
LBN Legal business name Longfellow, Samuel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2015
Last updated Jan 25th, 2023 - about 3 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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