Smith, Samuel

Smith, Samuel is an individual health care provider with primary practice located at 1501 San Pedro Dr Se , Albuquerque NM 87108-5153. He recently has only one registered license in Eye and Vision Services Providers / Ophthalmic, which is considered as his primary health care specialty. Smith, Samuel can be contacted via phone (505) 265-1711.

Contact Information

Primary practice address
1501 San Pedro Dr Se Albuquerque NM 87108-5153
Phone: (505) 265-1711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X COA

Profile Details

NPI number 1306519541
LBN Legal business name Smith, Samuel
Credentials COA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2021
Last updated Jul 25th, 2021 - about 5 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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