Brown, Samantha Elaine

Brown, Samantha Elaine is an individual health care provider with primary practice located at 620 Warrington Ave , Danville IL 61832-5446. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Brown, Samantha Elaine can be contacted via phone (217) 446-0660.

Contact Information

Primary practice address
620 Warrington Ave Danville IL 61832-5446
Phone: (217) 446-0660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160.007616 Illinois

Profile Details

NPI number 1720586282
LBN Legal business name Brown, Samantha Elaine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2018
Last updated Jan 30th, 2018 - about 7 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 1720586282 NPPES
Illinois MEDICAID 14-5183

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