Stuart, Samuel Patrick
Stuart, Samuel Patrick is an individual health care provider with primary practice located at 3333 Silas Creek Pkwy , Winston Salem NC 27103-3013. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Stuart, Samuel Patrick can be contacted via phone (336) 718-9080.Contact Information
Primary practice address
3333 Silas Creek Pkwy
Winston Salem NC 27103-3013
Phone: (336) 718-9080
Fax: (336) 718-9085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 30574 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 30574 | North Carolina |
Profile Details
| NPI number | 1447212667 |
|---|---|
| LBN Legal business name | Stuart, Samuel Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Oct 7th, 2021 - about 3 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 | 1447212667 | NPPES |
| North Carolina | MEDICAID | 1447212667 | |
| North Carolina | MEDICAID | 7980694 |
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