Rosen, Samuel H

Rosen, Samuel H is an individual health care provider with primary practice located at 2097 Henry Tecklenburg Dr Ste 211W , Charleston SC 29414-5739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as his primary health care specialty. Rosen, Samuel H can be contacted via phone (843) 958-2555.

Contact Information

Primary practice address
2097 Henry Tecklenburg Dr Ste 211W Charleston SC 29414-5739
Fax: (843) 402-1961
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 10866 South Carolina

Profile Details

NPI number 1265430862
LBN Legal business name Rosen, Samuel H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jan 29th, 2021 - about 5 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 1265430862 NPPES
South Carolina Other P00886821 RAILROAD MC ID-RSFPN
South Carolina MEDICAID 106888 RAILROAD MC ID-RSFPN

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