Cundiff, Sam Adam
Cundiff, Sam Adam is an sole proprietor health care provider with primary practice located at 149 Fallow Cir , Georgetown KY 40324-7007. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cundiff, Sam Adam can be contacted via phone (859) 475-6773.Contact Information
Primary practice address
149 Fallow Cir
Georgetown KY 40324-7007
Phone: (859) 475-6773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1003677121 |
|---|---|
| LBN Legal business name | Cundiff, Sam Adam |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2024 |
| Last updated | Jan 16th, 2024 - 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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