Samson, Wilner

Samson, Wilner is an individual health care provider with primary practice located at 98 Main St , Southington CT 06489-2500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Samson, Wilner can be contacted via phone (860) 276-5144.

Contact Information

Primary practice address
98 Main St Southington CT 06489-2500
Phone: (860) 276-5144
Fax: (860) 276-5148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 041729 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 041729 Connecticut

Profile Details

NPI number 1215934658
LBN Legal business name Samson, Wilner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 26th, 2016 - about 9 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 1215934658 NPPES
Connecticut MEDICAID 1417296

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