Landrum, Samuel Edward
Landrum, Samuel Edward is an individual health care provider with primary practice located at 1001 Towson Ave. , Fort Smith AR 72901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Landrum, Samuel Edward can be contacted via phone (479) 441-5361.Contact Information
Primary practice address
1001 Towson Ave.
Fort Smith AR 72901
Phone: (479) 441-5361
Fax: (479) 441-5078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R1721 | Arkansas |
Profile Details
| NPI number | 1902886914 |
|---|---|
| LBN Legal business name | Landrum, Samuel Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Oct 2nd, 2008 - about 16 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 | 1902886914 | NPPES |
| Arkansas | MEDICAID | 105606001 | |
| Arkansas | MEDICAID | 100251020A |
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