Person, Samuel Winfred

Person, Samuel Winfred is an sole proprietor health care provider with primary practice located at 2020 Wakefield Ave , Petersburg VA 23805-2112. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Person, Samuel Winfred can be contacted via phone (804) 732-1211.

Contact Information

Primary practice address
2020 Wakefield Ave Petersburg VA 23805-2112
Phone: (804) 732-1211
Fax: (804) 733-5946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 0103000377 Virginia

Profile Details

NPI number 1154324879
LBN Legal business name Person, Samuel Winfred
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1154324879 NPPES
Virginia MEDICAID 9331409

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