Tumminello, Sam C

Tumminello, Sam C is an sole proprietor health care provider with primary practice located at 19 Sergeant Prentiss Dr , Natchez MS 39120-4727. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Tumminello, Sam C can be contacted via phone (601) 442-8437.

Contact Information

Primary practice address
19 Sergeant Prentiss Dr Natchez MS 39120-4727
Phone: (601) 442-8437
Fax: (601) 442-8442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 11638 Mississippi
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 11638 Mississippi

Profile Details

NPI number 1780686352
LBN Legal business name Tumminello, Sam C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Aug 31st, 2007 - about 18 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 1780686352 NPPES
Mississippi MEDICAID 00018547
Mississippi MEDICAID 1379999

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