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Contact Information

SAMUEL C CARPENTER, DPM
304 S LAKE ST
STE 104
FARMINGTON, NM87401-5659
 Phone: 505-327-3338
 Fax: 505-566-9213
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SAMUEL C CARPENTER · (Male)

NPI # 1528172871
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/17/2006
Last updated 04/13/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 171
  • NM Medicaid 55640
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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