Bennett, Samantha

Bennett, Samantha is an individual health care provider with primary practice located at 204 W Highland Ave , Robinson IL 62454-1710. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bennett, Samantha can be contacted via phone (618) 546-1021.

Contact Information

Primary practice address
204 W Highland Ave Robinson IL 62454-1710
Fax: (618) 544-7892
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1396932331
LBN Legal business name Bennett, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Oct 3rd, 2007 - about 17 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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