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
Fax: (910) 332-1072
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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 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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