Laurencin, Samuel J
Laurencin, Samuel J is an individual health care provider with primary practice located at 500 Chase Pkwy , Waterbury CT 06708-3346. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Laurencin, Samuel J can be contacted via phone (203) 755-6677.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 282565 | Massachusetts |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 69456 | Connecticut |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 69456 | Connecticut |
Profile Details
NPI number | 1508253998 |
---|---|
LBN Legal business name | Laurencin, Samuel J |
Credentials | MD, PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 23rd, 2015 |
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 | 1508253998 | NPPES |
Massachusetts | MEDICAID | 110162087A |
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