Chostner, Samantha

Chostner, Samantha is an sole proprietor health care provider with primary practice located at 1000 Brookhaven Dr , Aiken SC 29803-2109. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Chostner, Samantha can be contacted via phone (803) 641-2624.

Contact Information

Primary practice address
1000 Brookhaven Dr Aiken SC 29803-2109
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1366873614
LBN Legal business name Chostner, Samantha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2013
Last updated Dec 11th, 2013 - about 11 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 1366873614 NPPES
South Carolina MEDICAID SD0200

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