Rauch, Samuel D

Rauch, Samuel D is an individual health care provider with primary practice located at 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville GA 30501-3861. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rauch, Samuel D can be contacted via phone (678) 350-3636.

Contact Information

Primary practice address
1240 Jesse Jewell Pkwy Se Ste 500 Gainesville GA 30501-3861
Fax: (770) 297-5023
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11452 Georgia

Profile Details

NPI number 1710980776
LBN Legal business name Rauch, Samuel D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 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 1710980776 NPPES
Georgia MEDICAID 00086039A

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