Slonim, Samuel L

Slonim, Samuel L is an sole proprietor health care provider with primary practice located at 34616 11Th Pl S # 5 , Federal Way WA 98003-8705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Slonim, Samuel L can be contacted via phone (253) 927-6500.

Contact Information

Primary practice address
34616 11Th Pl S # 5 Federal Way WA 98003-8705
Phone: (253) 927-6500
Fax: (253) 952-7280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19599 Washington

Profile Details

NPI number 1881699437
LBN Legal business name Slonim, Samuel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Mar 20th, 2008 - about 16 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 1881699437 NPPES
Washington Other SLO250 REGENCE PROVIDER ID
Washington MEDICAID 1004985 REGENCE PROVIDER ID

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