Spicer, Samuel Sherman
Spicer, Samuel Sherman is an individual health care provider with primary practice located at 4402 Shipyard Blvd , Wilmington NC 28403-6161. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Spicer, Samuel Sherman can be contacted via phone (910) 452-1400.Contact Information
Primary practice address
4402 Shipyard Blvd
Wilmington NC 28403-6161
Phone: (910) 452-1400
Fax: (910) 332-1072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25660 | North Carolina |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 25660 | North Carolina |
Profile Details
| NPI number | 1952305617 |
|---|---|
| LBN Legal business name | Spicer, Samuel Sherman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Nov 16th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952305617 | NPPES |
| North Carolina | Other | 78947 | BCBS |
| North Carolina | Other | 930040265 | BCBS |
| North Carolina | Other | 01-28856 | BCBS |
| North Carolina | Other | B4558 | BCBS |
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