Samuel, Bankole A.

Samuel, Bankole A. is an individual health care provider with primary practice located at 85 Lincoln Street 410, Framingham MA 01702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Samuel, Bankole A. can be contacted via phone (508) 820-1650.

Contact Information

Primary practice address
85 Lincoln Street 410 Framingham MA 01702
Fax: (508) 872-2796
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 270942 Massachusetts

Profile Details

NPI number 1376838243
LBN Legal business name Samuel, Bankole A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2011
Last updated Sep 11th, 2020 - about 4 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 1376838243 NPPES
Massachusetts MEDICAID 110099405A

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