Alliss, Samir Jose
Alliss, Samir Jose is an sole proprietor health care provider with primary practice located at 1000 W Moreno St , Pensacola FL 32501-2316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Alliss, Samir Jose can be contacted via phone (850) 434-4694.Contact Information
Primary practice address
1000 W Moreno St
Pensacola FL 32501-2316
Phone: (850) 434-4694
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OS7247 | Florida |
Profile Details
| NPI number | 1811048689 |
|---|---|
| LBN Legal business name | Alliss, Samir Jose |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1811048689 | NPPES |
| Florida | MEDICAID | 260044700 |
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