Carter, Samuel R

Carter, Samuel R is an sole proprietor health care provider with primary practice located at 2024 S Maiden Ln Ste 203 , Joplin MO 64804-0319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Carter, Samuel R can be contacted via phone (417) 659-4661.

Contact Information

Primary practice address
2024 S Maiden Ln Ste 203 Joplin MO 64804-0319
Phone: (417) 659-4661
Fax: (417) 659-8509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 109788 Missouri

Profile Details

NPI number 1760428973
LBN Legal business name Carter, Samuel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Aug 28th, 2023 - about last year

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 1760428973 NPPES
Other 110136988 RR MEDICARE
MEDICAID 100188880A RR MEDICARE
Other 31655 RR MEDICARE
MEDICAID 100069440A RR MEDICARE
MEDICAID 208238105 RR MEDICARE

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