Weisberg, Samuel

Weisberg, Samuel is an sole proprietor health care provider with primary practice located at 1018 Coal Ave Se , Albuquerque NM 87106-5206. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Weisberg, Samuel can be contacted via phone (505) 248-0303.

Contact Information

Primary practice address
1018 Coal Ave Se Albuquerque NM 87106-5206
Fax: (505) 248-1611
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1730181959
LBN Legal business name Weisberg, Samuel
Credentials CPO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Jan 24th, 2008 - about 16 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 1730181959 NPPES
New Mexico MEDICAID T6249

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