Andelman, Samuel M

Andelman, Samuel M is an individual health care provider with primary practice located at 106 Blanca Ave , Alamosa CO 81101-2340. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Andelman, Samuel M can be contacted via phone (877) 662-4044.

Contact Information

Primary practice address
106 Blanca Ave Alamosa CO 81101-2340
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 40629 Colorado

Profile Details

NPI number 1992745715
LBN Legal business name Andelman, Samuel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 4th, 2007 - about 18 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 1992745715 NPPES
Colorado Other P00061125 RAILROAD MEDICARE
Colorado MEDICAID 35007508 RAILROAD MEDICARE

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