Samuel, Terry Shira
Samuel, Terry Shira is an individual health care provider with primary practice located at 11600 W 2Nd Pl , Lakewood CO 80228-1527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Samuel, Terry Shira can be contacted via phone (719) 537-0712.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 36121 | Colorado |
Profile Details
| NPI number | 1972541993 |
|---|---|
| LBN Legal business name | Samuel, Terry Shira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jun 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972541993 | NPPES |
| Colorado | MEDICAID | 013621211 | |
| Colorado | Other | 028998 |
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