Edelman, Samuel B.
Edelman, Samuel B. is an individual health care provider with primary practice located at 710 Center Street , Columbus GA 31901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Edelman, Samuel B. can be contacted via phone (706) 571-1220.Contact Information
Primary practice address
710 Center Street
Columbus GA 31901
Phone: (706) 571-1220
Fax: (706) 571-1070
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 15263R | Louisiana |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD.15263R | Louisiana |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 070804 | Georgia |
Profile Details
NPI number | 1629064134 |
---|---|
LBN Legal business name | Edelman, Samuel B. |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2005 |
Last updated | Jan 13th, 2014 - about 10 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 | 1629064134 | NPPES |
Louisiana | MEDICAID | 1168602 | |
Louisiana | MEDICAID | 154008 | |
Louisiana | MEDICAID | 003115568B |
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