Samuel, Dennis

Samuel, Dennis is an individual health care provider with primary practice located at 350 Steeles Rd , Bristol TN 37620-9532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Samuel, Dennis can be contacted via phone (423) 844-4925.

Contact Information

Primary practice address
350 Steeles Rd Bristol TN 37620-9532
Phone: (423) 844-4925
Fax: (423) 844-4933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101050784 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD 27665 Tennessee

Profile Details

NPI number 1932102944
LBN Legal business name Samuel, Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Sep 23rd, 2009 - about 16 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 1932102944 NPPES
Tennessee MEDICAID 3802922
Tennessee MEDICAID 01010057

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