Quartey, Samuel Ferguson

Quartey, Samuel Ferguson is an sole proprietor health care provider with primary practice located at 5023 Spruce St , Philadelphia PA 19139. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Quartey, Samuel Ferguson can be contacted via phone (215) 471-1407.

Contact Information

Primary practice address
5023 Spruce St Philadelphia PA 19139
Phone: (215) 471-1407
Fax: (215) 471-6061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC002081L Pennsylvania

Profile Details

NPI number 1225005150
LBN Legal business name Quartey, Samuel Ferguson
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Nov 19th, 2010 - about 16 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 1225005150 NPPES
Pennsylvania Other 0060592000 KEYSTONE EAST
Pennsylvania Other 0060692000 KEYSTONE EAST
Pennsylvania Other 095915 KEYSTONE EAST
Pennsylvania MEDICAID 0540237 KEYSTONE EAST

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