Provisor, Aaron Samuel

Provisor, Aaron Samuel is an individual health care provider with primary practice located at 129 North Washington Street , Sumter SC 29150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Provisor, Aaron Samuel can be contacted via phone (803) 774-9000.

Contact Information

Primary practice address
129 North Washington Street Sumter SC 29150
Phone: (803) 774-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35692 South Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD35692 South Carolina

Profile Details

NPI number 1760709562
LBN Legal business name Provisor, Aaron Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2010
Last updated Jan 3rd, 2019 - about 5 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 1760709562 NPPES
South Carolina MEDICAID 356929

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