Assefa, Samson
Assefa, Samson is an individual health care provider with primary practice located at 9300 Dewitt Loop Rm O6.201 , Fort Belvoir VA 22060-5285. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Assefa, Samson can be contacted via phone (571) 231-4863.Contact Information
Primary practice address
9300 Dewitt Loop Rm O6.201
Fort Belvoir VA 22060-5285
Phone: (571) 231-4863
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0076214 | Maryland |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | D0076214 | Maryland |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 0101256126 | Virginia |
Profile Details
| NPI number | 1548526072 |
|---|---|
| LBN Legal business name | Assefa, Samson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2012 |
| Last updated | Dec 12th, 2022 - about 3 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 | 1548526072 | NPPES |
| Maryland | Other | S062-0556 | CAREFIRST BC/BS |
| Maryland | MEDICAID | 422741700 | CAREFIRST BC/BS |
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