Bou Samra, George R
Bou Samra, George R is an sole proprietor health care provider with primary practice located at 126 E Church St Ste 3100 , Somerset PA 15501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bou Samra, George R can be contacted via phone (814) 445-7101.Contact Information
Primary practice address
126 E Church St Ste 3100
Somerset PA 15501
Phone: (814) 445-7101
Fax: (814) 445-7688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD-067949-L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD-067949-L | Pennsylvania |
Profile Details
| NPI number | 1447369020 |
|---|---|
| LBN Legal business name | Bou Samra, George R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Aug 2nd, 2018 - about 6 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 | 1447369020 | NPPES |
| Pennsylvania | MEDICAID | 001751503 | |
| Pennsylvania | Other | 025444 |
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