Farmer, Samuel G

Farmer, Samuel G is an individual health care provider with primary practice located at 2450 12Th Street Se , Salem OR 97302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Farmer, Samuel G can be contacted via phone (503) 371-4350.

Contact Information

Primary practice address
2450 12Th Street Se Salem OR 97302
Fax: (503) 371-1124
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 14639 Oregon

Profile Details

NPI number 1457424129
LBN Legal business name Farmer, Samuel G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457424129 NPPES
Oregon MEDICAID 151803

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