Laney, Samuel Keith
Laney, Samuel Keith is an individual health care provider with primary practice located at 1106 E Prospect Rd Ste 100, Fort Collins CO 80525-5306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Laney, Samuel Keith can be contacted via phone (970) 482-4373.Contact Information
Primary practice address
1106 E Prospect Rd Ste 100
Fort Collins CO 80525-5306
Phone: (970) 482-4373
Fax: (970) 484-5682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 44994 | Colorado |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036163297 | Illinois |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 57430 | Minnesota |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 01083262 | Indiana |
Profile Details
| NPI number | 1861590358 |
|---|---|
| LBN Legal business name | Laney, Samuel Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 4th, 2024 - about last year |
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 | 1861590358 | NPPES |
| Wyoming | MEDICAID | 123552400 | |
| Wyoming | MEDICAID | 10603719 | |
| Wyoming | Other | P00382506 | |
| Wyoming | Other | LA801107 |
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