Abbey, Samantha G
Abbey, Samantha G is an sole proprietor health care provider with primary practice located at 6836 Issac'S Orchard Rd , Springdale AR 72762. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Abbey, Samantha G can be contacted via phone (479) 927-4100.Contact Information
Primary practice address
6836 Issac'S Orchard Rd
Springdale AR 72762
Phone: (479) 927-4100
Fax: (479) 927-4101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Arkansas |
Profile Details
| NPI number | 1861013443 |
|---|---|
| LBN Legal business name | Abbey, Samantha G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2020 |
| Last updated | May 5th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861013443 | NPPES |
| Arkansas | MEDICAID | 236458795 | |
| Arkansas | MEDICAID | 231889706 |
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