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Contact Information

JACOB SAMUEL, MD
2755 HERNDON
CLOVIS, CA93612
 Phone: 559-324-4066
 Fax: 559-324-4000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JACOB SAMUEL · (Male)

NPI Number 1386695260
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A51688
  • CA Medicaid 00A516880
  • CA Other 00A516880 BS OF CA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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