Bub, Sam

Bub, Sam is an individual health care provider with primary practice located at 619 Dalton St , Emmaus PA 18049-3031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Bub, Sam can be contacted via phone (610) 628-8200.

Contact Information

Primary practice address
619 Dalton St Emmaus PA 18049-3031
Phone: (610) 628-8200
Fax: (610) 965-6595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X MD020773E Pennsylvania

Profile Details

NPI number 1417957465
LBN Legal business name Bub, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Sep 12th, 2012 - about 12 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 1417957465 NPPES
Pennsylvania MEDICAID 0014636420001

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