Ancheta, Samuel Mapalo

Ancheta, Samuel Mapalo is an sole proprietor health care provider with primary practice located at 1949 5Th St Ste 103 , Davis CA 95616-4026. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Ancheta, Samuel Mapalo can be contacted via phone (916) 415-8510.

Contact Information

Primary practice address
1949 5Th St Ste 103 Davis CA 95616-4026
Phone: (916) 415-8510
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1462880322 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1093907552
LBN Legal business name Ancheta, Samuel Mapalo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2007
Last updated Aug 8th, 2023 - about last year

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.

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