Samuel, Samson P

Samuel, Samson P is an individual health care provider with primary practice located at 11012 E 13 Mile Rd Suite 112, Warren MI 48093-2572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as his primary health care specialty. Samuel, Samson P can be contacted via phone (586) 573-6880.

Contact Information

Primary practice address
11012 E 13 Mile Rd Suite 112 Warren MI 48093-2572
Fax: (586) 573-2562
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 4301061347 Michigan

Profile Details

NPI number 1679565584
LBN Legal business name Samuel, Samson P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Feb 1st, 2024 - about 2 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 1679565584 NPPES
Michigan MEDICAID 3258892
Michigan Other SS061347

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