West, Sam Carroll

West, Sam Carroll is an individual health care provider with primary practice located at 207 Haven Dr , Dothan AL 36301-2919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. West, Sam Carroll can be contacted via phone (334) 793-1964.

Contact Information

Primary practice address
207 Haven Dr Dothan AL 36301-2919
Phone: (334) 793-1964
Fax: (334) 794-4131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 8923 Alabama

Profile Details

NPI number 1366403255
LBN Legal business name West, Sam Carroll
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1366403255 NPPES
Alabama Other 51003791 BLUE CROSS ALABAMA

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