Serbin, Samson Gary

Serbin, Samson Gary is an sole proprietor health care provider with primary practice located at 6036 North 19Th Avenue Suite 400B, Phoenix AZ 85015-2110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as his primary health care specialty. Serbin, Samson Gary can be contacted via phone (602) 242-2520.

Contact Information

Primary practice address
6036 North 19Th Avenue Suite 400B Phoenix AZ 85015-2110
Fax: (602) 242-7625
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 17526 Arizona

Profile Details

NPI number 1326151028
LBN Legal business name Serbin, Samson Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Jul 8th, 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 1326151028 NPPES
Arizona Other 122502 HEALTHNET
Arizona Other 3354946 HEALTHNET
Arizona MEDICAID 299124-01 HEALTHNET
Arizona Other 4062898 HEALTHNET
Arizona Other AZ0258960 HEALTHNET

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