Samuel, Steven Frederick
Samuel, Steven Frederick is an individual health care provider with primary practice located at 141 Quartermaster Ct , Jeffersonville IN 47130-3627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Samuel, Steven Frederick can be contacted via phone (502) 583-7741.Contact Information
Primary practice address
141 Quartermaster Ct
Jeffersonville IN 47130-3627
Phone: (502) 583-7741
Fax: (502) 290-9743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 22794 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01044785A | Indiana |
Profile Details
| NPI number | 1063417053 |
|---|---|
| LBN Legal business name | Samuel, Steven Frederick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jun 5th, 2019 - about 7 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 | 1063417053 | NPPES |
| Indiana | MEDICAID | 100366810 | |
| Indiana | MEDICAID | 64227945 |
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