Deem, Samuel Gray
Deem, Samuel Gray is an individual health care provider with primary practice located at 3100 Maccorkle Ave Se Suite 602, Charleston WV 25304-1223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Deem, Samuel Gray can be contacted via phone (304) 388-5120.Contact Information
Primary practice address
3100 Maccorkle Ave Se Suite 602
Charleston WV 25304-1223
Phone: (304) 388-5120
Fax: (304) 388-5125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 2176 | West Virginia |
Profile Details
| NPI number | 1700909702 |
|---|---|
| LBN Legal business name | Deem, Samuel Gray |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Dec 14th, 2015 - about 9 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 | 1700909702 | NPPES |
| West Virginia | Other | P01087428 | RAILROAD MEDICARE |
| West Virginia | MEDICAID | 3810010649 | RAILROAD MEDICARE |
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