Mortimer, Samuel L

Mortimer, Samuel L is an individual health care provider with primary practice located at 7220 Mount Rushmore Rd , Rapid City SD 57702-8754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mortimer, Samuel L can be contacted via phone (605) 341-1414.

Contact Information

Primary practice address
7220 Mount Rushmore Rd Rapid City SD 57702-8754
Phone: (605) 341-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 7230 South Dakota

Profile Details

NPI number 1073727897
LBN Legal business name Mortimer, Samuel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jan 17th, 2023 - 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 1073727897 NPPES
South Dakota Other 1254560001 CIGNA MEDICARE
South Dakota MEDICAID 6402440 CIGNA MEDICARE

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