Bleuez, Samuel B
Bleuez, Samuel B is an individual health care provider with primary practice located at 1267 Highway 54 W Suite 2200, Fayetteville GA 30214-2114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bleuez, Samuel B can be contacted via phone (770) 716-0051.Contact Information
Primary practice address
1267 Highway 54 W Suite 2200
Fayetteville GA 30214-2114
Phone: (770) 716-0051
Fax: (770) 716-0087
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 239289 | New York |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 060241 | Georgia |
Profile Details
NPI number | 1255465696 |
---|---|
LBN Legal business name | Bleuez, Samuel B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2007 |
Last updated | Sep 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255465696 | NPPES |
Georgia | MEDICAID | 043447662HI |
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