Kagan, Samuel

Kagan, Samuel is an sole proprietor health care provider with primary practice located at 925 Main St , East Greenwich RI 02818-3116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kagan, Samuel can be contacted via phone (401) 884-5333.

Contact Information

Primary practice address
925 Main St East Greenwich RI 02818-3116
Fax: (401) 884-5664
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8504 Rhode Island

Profile Details

NPI number 1821074345
LBN Legal business name Kagan, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Nov 13th, 2012 - about 13 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 1821074345 NPPES
Rhode Island MEDICAID SK01749

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