Samuel, Eshan Michael

Samuel, Eshan Michael is an sole proprietor health care provider with primary practice located at 400 N 9Th St , Springfield IL 62702-5310. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Samuel, Eshan Michael can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
400 N 9Th St Springfield IL 62702-5310
Phone: (217) 545-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 036-151007 Illinois

Profile Details

NPI number 1164831186
LBN Legal business name Samuel, Eshan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2014
Last updated Apr 7th, 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.

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