Samuelson, Scott John
Samuelson, Scott John is an individual health care provider with primary practice located at 473 Castle Pines Ave Unit 1 , Johnstown CO 80534-7859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Samuelson, Scott John can be contacted via phone (970) 587-7881.Contact Information
Primary practice address
473 Castle Pines Ave Unit 1
Johnstown CO 80534-7859
Phone: (970) 587-7881
Fax: (970) 587-7738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DR.0035373 | Colorado |
Profile Details
| NPI number | 1578677019 |
|---|---|
| LBN Legal business name | Samuelson, Scott John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jan 25th, 2024 - about 11 months 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 | 1578677019 | NPPES |
| Colorado | MEDICAID | 9000145425 |
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