Brown, Samuel Matthew

Brown, Samuel Matthew is an individual health care provider with primary practice located at 4581 Lifestyle Ln , Midlothian VA 23112-4807. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Brown, Samuel Matthew can be contacted via phone (804) 201-3506.

Contact Information

Primary practice address
4581 Lifestyle Ln Midlothian VA 23112-4807
Phone: (804) 201-3506
Fax: (804) 234-3400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 562 Colorado
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717001098 Virginia

Profile Details

NPI number 1578638300
LBN Legal business name Brown, Samuel Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Nov 13th, 2020 - about 5 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 1578638300 NPPES
Virginia MEDICAID 10258685

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