Amen, Samuel Alan

Amen, Samuel Alan is an individual health care provider with primary practice located at 100 3Rd Ave W Ste 110 , Bradenton FL 34205-8641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Amen, Samuel Alan can be contacted via phone (941) 708-9555.

Contact Information

Primary practice address
100 3Rd Ave W Ste 110 Bradenton FL 34205-8641
Phone: (941) 708-9555
Fax: (941) 708-5465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23587 Oklahoma
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 23587 Oklahoma

Profile Details

NPI number 1831300995
LBN Legal business name Amen, Samuel Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated May 12th, 2021 - about 4 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 1831300995 NPPES
Oklahoma MEDICAID 200521770A

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