Samuel, Brian

Samuel, Brian is an individual health care provider with primary practice located at 1 Medical Center Blvd , Cookeville TN 38501-4294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Samuel, Brian can be contacted via phone (931) 783-2334.

Contact Information

Primary practice address
1 Medical Center Blvd Cookeville TN 38501-4294
Phone: (931) 783-2334
Fax: (931) 783-2253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21116 Tennessee

Profile Details

NPI number 1376548628
LBN Legal business name Samuel, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Mar 7th, 2023 - about last year

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 1376548628 NPPES
Tennessee MEDICAID 3096963

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