Andelin, Samuel Forsyth
Andelin, Samuel Forsyth is an individual health care provider with primary practice located at 1380 E Medical Center Dr , St George UT 84790-2123. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Andelin, Samuel Forsyth can be contacted via phone (435) 251-2992.Contact Information
Primary practice address
1380 E Medical Center Dr
St George UT 84790-2123
Phone: (435) 251-2992
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9596330-1205 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 52440-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 9596330-1205 | Utah |
Profile Details
| NPI number | 1619132834 |
|---|---|
| LBN Legal business name | Andelin, Samuel Forsyth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2008 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619132834 | NPPES |
| Wisconsin | Other | 2724 | TEP |
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