Pullen, Samuel Joseph
Pullen, Samuel Joseph is an individual health care provider with primary practice located at 140 Kimel Park Dr Ste 200 , Winston Salem NC 27103-6185. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Pullen, Samuel Joseph can be contacted via phone (336) 718-7250.Contact Information
Primary practice address
140 Kimel Park Dr Ste 200
Winston Salem NC 27103-6185
Phone: (336) 718-7250
Fax: (336) 718-7260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 51241 | Minnesota |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 2020-00356 | North Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2020-00356 | North Carolina |
Profile Details
| NPI number | 1689874968 |
|---|---|
| LBN Legal business name | Pullen, Samuel Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2007 |
| Last updated | Apr 19th, 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 | 1689874968 | NPPES |
| Idaho | MEDICAID | 1689874968 |
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