Mandell, Samuel Pierce

Mandell, Samuel Pierce is an individual health care provider with primary practice located at 325 9Th Ave Box 359796, Seattle WA 98104-2420. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Mandell, Samuel Pierce can be contacted via phone (206) 744-3140.

Contact Information

Primary practice address
325 9Th Ave Box 359796 Seattle WA 98104-2420
Phone: (206) 744-3140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MD00048682 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00048682 Washington
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD00048682 Washington

Profile Details

NPI number 1669581427
LBN Legal business name Mandell, Samuel Pierce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated May 19th, 2015 - about 10 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 1669581427 NPPES
Washington Other 0293856 L&I
Washington MEDICAID 1669581427 L&I
Washington Other MD00048682 L&I

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