Madson, Samuel Leathen
Madson, Samuel Leathen is an sole proprietor health care provider with primary practice located at 1100 Wilford Hall Loop Bldg 4554 , Lackland Afb TX 78236-5638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Madson, Samuel Leathen can be contacted via phone (210) 916-3808.Contact Information
Primary practice address
1100 Wilford Hall Loop Bldg 4554
Lackland Afb TX 78236-5638
Phone: (210) 916-3808
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | T9941 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 27143 | Nebraska |
Profile Details
| NPI number | 1699064220 |
|---|---|
| LBN Legal business name | Madson, Samuel Leathen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2011 |
| Last updated | Apr 29th, 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.
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