Samuel, Eurekia C

Samuel, Eurekia C is an individual health care provider with primary practice located at 4635 Highway 80 E , Pearl MS 39208-4226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Samuel, Eurekia C can be contacted via phone (601) 936-3833.

Contact Information

Primary practice address
4635 Highway 80 E Pearl MS 39208-4226
Phone: (601) 936-3833
Fax: (601) 936-3837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R860068 Mississippi

Profile Details

NPI number 1548459019
LBN Legal business name Samuel, Eurekia C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2007
Last updated Aug 6th, 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 1548459019 NPPES
Mississippi MEDICAID 06781511

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