Samuels, Brian Louis

Samuels, Brian Louis is an individual health care provider with primary practice located at 980 W Ironwood Dr Ste 207 , Coeur D Alene ID 83814-2668. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Samuels, Brian Louis can be contacted via phone (208) 755-2804.

Contact Information

Primary practice address
980 W Ironwood Dr Ste 207 Coeur D Alene ID 83814-2668
Phone: (208) 755-2804
Fax: (208) 765-0277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD60316942 Washington
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X M-8989 Idaho
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X M8989 Idaho

Profile Details

NPI number 1396776027
LBN Legal business name Samuels, Brian Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 19th, 2020 - about 4 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 1396776027 NPPES
Idaho MEDICAID 806822500

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