Samuel, Vincent K.

Samuel, Vincent K. is an individual health care provider with primary practice located at 6060 Poplar Ave Suite 364, Memphis TN 38119-3980. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Samuel, Vincent K. can be contacted via phone (901) 818-2162.

Contact Information

Primary practice address
6060 Poplar Ave Suite 364 Memphis TN 38119-3980
Phone: (901) 818-2162
Fax: (901) 818-2163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD27856 Tennessee

Profile Details

NPI number 1467428177
LBN Legal business name Samuel, Vincent K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated May 22nd, 2008 - 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 1467428177 NPPES
Tennessee MEDICAID 3800784
Tennessee MEDICAID 00122566
Tennessee MEDICAID 209768415
Tennessee MEDICAID 146439001

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