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
Phone: (678) 350-3636
Fax: (770) 297-5023
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710980776 | NPPES |
| Georgia | MEDICAID | 00086039A |
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