Samuel, James

Samuel, James is an individual health care provider with primary practice located at 8400 Washington Ave , Mount Pleasant WI 53406-3735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Samuel, James can be contacted via phone (262) 884-4088.

Contact Information

Primary practice address
8400 Washington Ave Mount Pleasant WI 53406-3735
Phone: (262) 884-4088
Fax: (262) 884-4078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036126828 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 53694 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-126828 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 53694-20 Wisconsin

Profile Details

NPI number 1104949635
LBN Legal business name Samuel, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Nov 18th, 2021 - about 3 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 1104949635 NPPES
Wisconsin MEDICAID 100012273

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