Wesonga, Samuel M

Wesonga, Samuel M is an individual health care provider with primary practice located at 8001 T W Alexander Dr Ste 216 , Raleigh NC 27617-4884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wesonga, Samuel M can be contacted via phone (919) 350-0953.

Contact Information

Primary practice address
8001 T W Alexander Dr Ste 216 Raleigh NC 27617-4884
Phone: (919) 350-0953
Fax: (193) 509-8189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 93-00369 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9300369 North Carolina

Profile Details

NPI number 1114911823
LBN Legal business name Wesonga, Samuel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Apr 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114911823 NPPES
North Carolina Other 80084731 RAILROAD MEDICARE
North Carolina MEDICAID 8986588 RAILROAD MEDICARE
North Carolina Other 59381 RAILROAD MEDICARE
North Carolina Other 86588 RAILROAD MEDICARE
North Carolina Other 5497949 RAILROAD MEDICARE

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