Burns, Samuel
Burns, Samuel is an individual health care provider with primary practice located at 2740 N Clarkson St , Fremont NE 68025-7703. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burns, Samuel can be contacted via phone (402) 721-0951.Contact Information
Primary practice address
2740 N Clarkson St
Fremont NE 68025-7703
Phone: (402) 721-0951
Fax: (402) 721-0804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2230 | Nebraska |
Profile Details
| NPI number | 1033539580 |
|---|---|
| LBN Legal business name | Burns, Samuel |
| Credentials | LIMHP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2014 |
| Last updated | Dec 30th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033539580 | NPPES |
| Nebraska | Other | 2230 | LIMHP LICENSE |
| Nebraska | MEDICAID | 10025851800 | LIMHP LICENSE |
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