Bansal, Sam L

Bansal, Sam L is an sole proprietor health care provider with primary practice located at 667 Fairhaven Cir , Porterville CA 93257-2025. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Forensic is his primary health care specialty. Bansal, Sam L can be contacted via phone (805) 712-1023.

Contact Information

Primary practice address
667 Fairhaven Cir Porterville CA 93257-2025
Phone: (805) 712-1023
Fax: (559) 781-1023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1104256478
LBN Legal business name Bansal, Sam L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2013
Last updated Nov 22nd, 2013 - about 12 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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