Samuelson, Donald G

Samuelson, Donald G is an individual health care provider with primary practice located at 255 W Lancaster Ave , Paoli PA 19301-1763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Samuelson, Donald G can be contacted via phone (610) 429-0693.

Contact Information

Primary practice address
255 W Lancaster Ave Paoli PA 19301-1763
Phone: (610) 429-0693
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD042051E Pennsylvania

Profile Details

NPI number 1811070584
LBN Legal business name Samuelson, Donald G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Oct 4th, 2007 - 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 1811070584 NPPES
Pennsylvania Other 725470 BLUE SHIELD PA
Pennsylvania Other 0562924000 BLUE SHIELD PA
Pennsylvania MEDICAID 0012886780004 BLUE SHIELD PA
Pennsylvania Other 0128867807 BLUE SHIELD PA
Pennsylvania Other 0735848 BLUE SHIELD PA

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