Gladstone, Samuel

Gladstone, Samuel is an sole proprietor health care provider with primary practice located at 12 Dickinson St , Amherst MA 01002-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gladstone, Samuel can be contacted via phone (413) 253-2300.

Contact Information

Primary practice address
12 Dickinson St Amherst MA 01002-2310
Phone: (413) 253-2300
Fax: (413) 256-0464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 55035 Massachusetts

Profile Details

NPI number 1134188220
LBN Legal business name Gladstone, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2006
Last updated Nov 28th, 2012 - about 12 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 1134188220 NPPES
Massachusetts Other 2358324 AETNA
Massachusetts Other 706042 AETNA
Massachusetts MEDICAID 3029671 AETNA
Massachusetts Other 71777 AETNA
Massachusetts Other 10248501 AETNA
Massachusetts Other J06871 AETNA
Massachusetts Other 720950 AETNA
Massachusetts Other 000000007610 AETNA
Massachusetts Other 12640 AETNA

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