Samuelson, Jeffrey Neil

Samuelson, Jeffrey Neil is an individual health care provider with primary practice located at 1414 Woodland Ave , Duluth MN 55803-2624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Samuelson, Jeffrey Neil can be contacted via phone (218) 302-1000.

Contact Information

Primary practice address
1414 Woodland Ave Duluth MN 55803-2624
Phone: (218) 302-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 40515 Minnesota
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 40515 Minnesota

Profile Details

NPI number 1407912678
LBN Legal business name Samuelson, Jeffrey Neil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Oct 13th, 2020 - about 5 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 1407912678 NPPES
Minnesota MEDICAID 860217400

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