Sidhom, George S
Sidhom, George S is an sole proprietor health care provider with primary practice located at 5193 Mariner Blvd , Spring Hill FL 34609-1834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Sidhom, George S can be contacted via phone (352) 688-6393.Contact Information
Primary practice address
5193 Mariner Blvd
Spring Hill FL 34609-1834
Phone: (352) 688-6393
Fax: (352) 688-1113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME0066412 | Florida |
Profile Details
| NPI number | 1003814435 |
|---|---|
| LBN Legal business name | Sidhom, George S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Sep 21st, 2011 - about 14 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 | 1003814435 | NPPES |
| Florida | MEDICAID | 376854600 |
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