Zuckerman, Samuel L.

Zuckerman, Samuel L. is an individual health care provider with primary practice located at Mountain Neonatology Llc 3100 Channing Way, Idaho Falls ID 83404-7533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Zuckerman, Samuel L. can be contacted via phone (602) 346-7013.

Contact Information

Primary practice address
Mountain Neonatology Llc 3100 Channing Way Idaho Falls ID 83404-7533
Phone: (602) 346-7013
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X J9854 Texas
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X J9854 Texas
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X M-15488 Idaho

Profile Details

NPI number 1831156595
LBN Legal business name Zuckerman, Samuel L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Dec 10th, 2020 - about 6 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 1831156595 NPPES
Texas MEDICAID 132776910
Texas MEDICAID 200102900 A
Texas MEDICAID 33787336
Texas MEDICAID 132776912
Texas MEDICAID 132776911

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