Carpenter, Samuel C
Carpenter, Samuel C is an sole proprietor health care provider with primary practice located at 304 S Lake St Ste 104, Farmington NM 87401-5659. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Carpenter, Samuel C can be contacted via phone (505) 327-3338.Contact Information
Primary practice address
304 S Lake St Ste 104
Farmington NM 87401-5659
Phone: (505) 327-3338
Fax: (505) 566-9213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 171 | New Mexico |
Profile Details
| NPI number | 1528172871 |
|---|---|
| LBN Legal business name | Carpenter, Samuel C |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Apr 13th, 2014 - about 11 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 | 1528172871 | NPPES |
| New Mexico | MEDICAID | 55640 |
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