Samuel, Steven Frederick

Samuel, Steven Frederick is an individual health care provider with primary practice located at 141 Quartermaster Ct , Jeffersonville IN 47130-3627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Samuel, Steven Frederick can be contacted via phone (502) 583-7741.

Contact Information

Primary practice address
141 Quartermaster Ct Jeffersonville IN 47130-3627
Phone: (502) 583-7741
Fax: (502) 290-9743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22794 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 01044785A Indiana

Profile Details

NPI number 1063417053
LBN Legal business name Samuel, Steven Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jun 5th, 2019 - about 6 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 1063417053 NPPES
Indiana MEDICAID 100366810
Indiana MEDICAID 64227945

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