Mcwilliams, Samuel Byron

Mcwilliams, Samuel Byron is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mcwilliams, Samuel Byron can be contacted via phone (603) 653-9663.

Contact Information

Primary practice address
1 Medical Center Dr Lebanon NH 03756
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042.0013145 Vermont
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19144 New Hampshire

Profile Details

NPI number 1710244116
LBN Legal business name Mcwilliams, Samuel Byron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated Mar 7th, 2023 - about 2 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 1710244116 NPPES
Vermont Other 13563460 CAQH
Vermont MEDICAID 1025519 CAQH

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