Michael, Sam Idongesit

Michael, Sam Idongesit is an individual health care provider with primary practice located at 12205 County Line Rd Ste D , Madison AL 35758-7720. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Michael, Sam Idongesit can be contacted via phone (938) 227-6307.

Contact Information

Primary practice address
12205 County Line Rd Ste D Madison AL 35758-7720
Phone: (938) 227-6307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.39065 Alabama

Profile Details

NPI number 1699272062
LBN Legal business name Michael, Sam Idongesit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2018
Last updated Jun 24th, 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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