Provider Demographics
NPI:1982841995
Name:PSALMS, SHEMUEL BENN (SA-C)
Entity Type:Individual
Prefix:
First Name:SHEMUEL
Middle Name:BENN
Last Name:PSALMS
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 42437
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85733
Mailing Address - Country:US
Mailing Address - Phone:520-425-2599
Mailing Address - Fax:
Practice Address - Street 1:825 W CHICALOTE ST
Practice Address - Street 2:
Practice Address - City:ORACLE
Practice Address - State:AZ
Practice Address - Zip Code:85623-6151
Practice Address - Country:US
Practice Address - Phone:520-425-2599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-13
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant