Samuelson, Andrew Lewis

Samuelson, Andrew Lewis is an individual health care provider with primary practice located at 280 Exempla Cir , Lafayette CO 80026-3370. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Samuelson, Andrew Lewis can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
280 Exempla Cir Lafayette CO 80026-3370
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X P5129 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X P5129 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 048988 Colorado

Profile Details

NPI number 1215119516
LBN Legal business name Samuelson, Andrew Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2007
Last updated May 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215119516 NPPES
Colorado Other 023816 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 95257349 KAISER COMMERCIAL NUMBER

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