Beitler, Samuel D

Beitler, Samuel D is an individual health care provider with primary practice located at 795 Aquahart Rd #125, Glen Burnie MD 21061-3962. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Beitler, Samuel D can be contacted via phone (410) 768-0702.

Contact Information

Primary practice address
795 Aquahart Rd #125 Glen Burnie MD 21061-3962
Phone: (410) 768-0702
Fax: (410) 768-0649
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 445 Maryland

Profile Details

NPI number 1467454843
LBN Legal business name Beitler, Samuel D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Dec 14th, 2010 - about 14 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 1467454843 NPPES
Maryland MEDICAID 602368100

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