Mccreedy, Samuel James

Mccreedy, Samuel James is an sole proprietor health care provider with primary practice located at 2 Prospect Ter , Gorham NH 03581-1221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccreedy, Samuel James can be contacted via phone (603) 874-4295.

Contact Information

Primary practice address
2 Prospect Ter Gorham NH 03581-1221
Phone: (603) 874-4295
Fax: (603) 932-7354
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 94347 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 056858 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00045859 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD24218 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17939 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17973 New Hampshire

Profile Details

NPI number 1093791113
LBN Legal business name Mccreedy, Samuel James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2005
Last updated Feb 1st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093791113 NPPES
New Hampshire MEDICAID 3106359
New Hampshire MEDICAID 02434814

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