Schroerlucke, Samuel Ray

Schroerlucke, Samuel Ray is an individual health care provider with primary practice located at 1244 Primacy Pkwy , Memphis TN 38119-0201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Schroerlucke, Samuel Ray can be contacted via phone (901) 767-8662.

Contact Information

Primary practice address
1244 Primacy Pkwy Memphis TN 38119-0201
Phone: (901) 767-8662
Fax: (901) 767-8666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 45727 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 45727 Tennessee

Profile Details

NPI number 1902028947
LBN Legal business name Schroerlucke, Samuel Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Mar 25th, 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 1902028947 NPPES
Tennessee Other 4269099 BCBS TN
Tennessee Other 9993516 BCBS TN
Tennessee Other P00881379 BCBS TN
Tennessee MEDICAID 1521876 BCBS TN
Tennessee Other 620819926 BCBS TN
Tennessee Other 620819926 BCBS TN

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