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
Phone: (508) 820-1650
Fax: (508) 872-2796
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376838243 | NPPES |
| Massachusetts | MEDICAID | 110099405A |
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