Spears, Samuel W

Spears, Samuel W is an individual health care provider with primary practice located at 407 W 66Th St , Richfield MN 55423-2304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Spears, Samuel W can be contacted via phone (612) 798-8800.

Contact Information

Primary practice address
407 W 66Th St Richfield MN 55423-2304
Phone: (612) 798-8800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43575 Minnesota

Profile Details

NPI number 1689670150
LBN Legal business name Spears, Samuel W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Nov 9th, 2020 - about 5 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 1689670150 NPPES
Minnesota MEDICAID 255408900
Minnesota Other 41F89SP
Minnesota Other 0402997

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