Jeng, Samuel M
Jeng, Samuel M is an sole proprietor health care provider with primary practice located at 1616 15Th St , Greeley CO 80631-4571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jeng, Samuel M can be contacted via phone (970) 352-6688.Contact Information
Primary practice address
1616 15Th St
Greeley CO 80631-4571
Phone: (970) 352-6688
Fax: (970) 353-2892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 49343 | Colorado |
Profile Details
| NPI number | 1558301721 |
|---|---|
| LBN Legal business name | Jeng, Samuel M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Feb 3rd, 2022 - about 3 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 | 1558301721 | NPPES |
| Colorado | MEDICAID | 64474283 |
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