Samuelson Bannow, Bethany Tara

Samuelson Bannow, Bethany Tara is an individual health care provider with primary practice located at 10201 Carnegie Ave , Cleveland OH 44106-2130. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Samuelson Bannow, Bethany Tara can be contacted via phone (866) 223-8100.

Contact Information

Primary practice address
10201 Carnegie Ave Cleveland OH 44106-2130
Phone: (866) 223-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X OR186355 Oregon
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35.154541 Ohio
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 35.154541 Ohio

Profile Details

NPI number 1619267556
LBN Legal business name Samuelson Bannow, Bethany Tara
Credentials MD, MCR
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2011
Last updated Oct 7th, 2025 - about last year

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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