Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC010753 | PA |
NPI | 1275805731 |
---|---|
Provider Name | Dr. Samuel L Armfield IV |
First Address | Oakdale, PA 15071-1023 |
Second Address | Oakdale, PA 15071-1023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2012 |
Last Update Date | 15/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T00173034 | (02) | NH |