Samuelson, Eric Michael
Samuelson, Eric Michael is an individual health care provider with primary practice located at 2725 S 144Th St Ste 212 , Omaha NE 68144-5253. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Samuelson, Eric Michael can be contacted via phone (402) 637-0800.Contact Information
Primary practice address
2725 S 144Th St Ste 212
Omaha NE 68144-5253
Phone: (402) 637-0800
Fax: (402) 637-0808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 27772 | Nebraska |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 27772 | Nebraska |
Profile Details
| NPI number | 1205050523 |
|---|---|
| LBN Legal business name | Samuelson, Eric Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jun 24th, 2022 - 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 | 1205050523 | NPPES |
| Nebraska | Other | 27772 | NEBRASKA LICENSE |
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