Anderson, Samuel Neal

Anderson, Samuel Neal is an individual health care provider with primary practice located at 11408 Lake Sherwood Ave N Ste A , Baton Rouge LA 70816-0421. 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. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Anderson, Samuel Neal can be contacted via phone (225) 261-7143.

Contact Information

Primary practice address
11408 Lake Sherwood Ave N Ste A Baton Rouge LA 70816-0421
Phone: (225) 261-7143
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4018 Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1255800322
LBN Legal business name Anderson, Samuel Neal
Credentials CIT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2018
Last updated Apr 11th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255800322 NPPES
Louisiana MEDICAID 8050569

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