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:
Health care specialties
Specialty | Code | License # | 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 11 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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