Burris, Samantha Lee
Burris, Samantha Lee is an sole proprietor health care provider with primary practice located at 66 E Market St , Corning NY 14830-2709. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Burris, Samantha Lee can be contacted via phone (607) 346-2640.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Acupuncturist | 171100000X | 006267 | New York |
Profile Details
NPI number | 1568944973 |
---|---|
LBN Legal business name | Burris, Samantha Lee |
Credentials | Licensed Acupuncturist (LAC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 31st, 2018 |
Last updated | Jun 11th, 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 | 1568944973 | NPPES |
New York | Other | 006267 | PROFESSIONAL LICENSE |
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