Sim, Samuel K

Sim, Samuel K is an individual health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Sim, Samuel K can be contacted via phone (423) 844-1121.

Contact Information

Primary practice address
1 Medical Park Blvd Bristol TN 37620-7430
Phone: (423) 844-1121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 129513 Montana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X EMC0004965 Michigan
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD-12112 Hawaii
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD00032743 Washington

Profile Details

NPI number 1275633844
LBN Legal business name Sim, Samuel K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated May 9th, 2024 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275633844 NPPES
Hawaii MEDICAID 519043-01
Hawaii Other 0000237701
Hawaii MEDICAID 8179897

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