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
Phone: (602) 242-2520
Fax: (602) 242-7625
Website:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 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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