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
Phone: (586) 573-6880
Fax: (586) 573-2562
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679565584 | NPPES |
| Michigan | MEDICAID | 3258892 | |
| Michigan | Other | SS061347 |
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