Peretsman, Samuel Jay

Peretsman, Samuel Jay is an individual health care provider with primary practice located at 201 Queens Rd , Charlotte NC 28204-3217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Peretsman, Samuel Jay can be contacted via phone (704) 372-5180.

Contact Information

Primary practice address
201 Queens Rd Charlotte NC 28204-3217
Phone: (704) 372-5180
Fax: (704) 376-6280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 89031 South Carolina
Allopathic & Osteopathic Physicians / Urology 208800000X 9500688 North Carolina

Profile Details

NPI number 1912946336
LBN Legal business name Peretsman, Samuel Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated May 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912946336 NPPES
North Carolina Other 10465 PARTNERS PROVIDER #
North Carolina Other 66833 PARTNERS PROVIDER #
North Carolina Other 340016821 PARTNERS PROVIDER #

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