Samuel, Martin E

Samuel, Martin E is an individual health care provider with primary practice located at 2741 W Layton Avenue Suite 206, Milwaukee WI 53221-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Samuel, Martin E can be contacted via phone (414) 281-9820.

Contact Information

Primary practice address
2741 W Layton Avenue Suite 206 Milwaukee WI 53221-2600
Phone: (414) 281-9820
Fax: (414) 281-9835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 20223 Wisconsin

Profile Details

NPI number 1376500884
LBN Legal business name Samuel, Martin E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1376500884 NPPES
Wisconsin MEDICAID 30307900

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