Luague, Samuel Balana

Luague, Samuel Balana is an individual health care provider with primary practice located at 401 N Jefferson St , Galax VA 24333-2858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Luague, Samuel Balana can be contacted via phone (276) 236-7166.

Contact Information

Primary practice address
401 N Jefferson St Galax VA 24333-2858
Phone: (276) 236-7166
Fax: (276) 236-7165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25878 Virginia

Profile Details

NPI number 1760488233
LBN Legal business name Luague, Samuel Balana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 8th, 2007 - about 18 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 1760488233 NPPES
North Carolina Other 690612W MEDICAID
North Carolina MEDICAID 6399941 MEDICAID
North Carolina Other 061584 MEDICAID

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