Tredemeyer, Samuel
Tredemeyer, Samuel is an individual health care provider with primary practice located at 4400 Long Prairie Rd , Flower Mound TX 75028-1892. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tredemeyer, Samuel can be contacted via phone (469) 322-7481.Contact Information
Primary practice address
4400 Long Prairie Rd
Flower Mound TX 75028-1892
Phone: (469) 322-7481
Fax: (469) 322-7807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101016014 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P2386 | Texas |
Profile Details
| NPI number | 1366570855 |
|---|---|
| LBN Legal business name | Tredemeyer, Samuel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Nov 15th, 2012 - about 12 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 | 1366570855 | NPPES |
| Michigan | Other | D16150185 | MEDICARE |
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