Insalaco, Samuel Joseph

Insalaco, Samuel Joseph is an individual health care provider with primary practice located at 315 Martin Luther King Jr Way Ms Lb-Wwp, Tacoma WA 98405-4234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Insalaco, Samuel Joseph can be contacted via phone (253) 403-1043.

Contact Information

Primary practice address
315 Martin Luther King Jr Way Ms Lb-Wwp Tacoma WA 98405-4234
Fax: (253) 403-1357
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD00018036 Washington

Profile Details

NPI number 1265570378
LBN Legal business name Insalaco, Samuel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated May 21st, 2008 - 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 1265570378 NPPES
Washington MEDICAID 8644908

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