Samarian, Bruce
Samarian, Bruce is an individual health care provider with primary practice located at 1695 W. 12 Mile Road Suite 200, Berkley MI 48072-2100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Samarian, Bruce can be contacted via phone (248) 548-9090.Contact Information
Primary practice address
1695 W. 12 Mile Road Suite 200
Berkley MI 48072-2100
Phone: (248) 548-9090
Fax: (248) 548-8462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301039672 | Michigan |
Profile Details
| NPI number | 1720002090 |
|---|---|
| LBN Legal business name | Samarian, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1720002090 | NPPES |
| Michigan | MEDICAID | 281860 |
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