Meadema, Samuel Joseph

Meadema, Samuel Joseph is an individual health care provider with primary practice located at 159 Executive Dr Suite C, Danville VA 24541-4160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Meadema, Samuel Joseph can be contacted via phone (434) 792-0830.

Contact Information

Primary practice address
159 Executive Dr Suite C Danville VA 24541-4160
Phone: (434) 792-0830
Fax: (434) 792-0468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101031594 Virginia

Profile Details

NPI number 1649225764
LBN Legal business name Meadema, Samuel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Oct 10th, 2022 - about 2 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 1649225764 NPPES
Virginia Other 040000105 TRAILBLAZER HEALTH ENTERPRISES, LLC
Virginia Other 032223 TRAILBLAZER HEALTH ENTERPRISES, LLC

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