Cook, Samantha
Cook, Samantha is an sole proprietor health care provider with primary practice located at 3631 Edison Rd Ste 2 , South Bend IN 46615-3715. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Cook, Samantha can be contacted via phone (574) 855-1084.Contact Information
Primary practice address
3631 Edison Rd Ste 2
South Bend IN 46615-3715
Phone: (574) 855-1084
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1316645229 |
|---|---|
| LBN Legal business name | Cook, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2023 |
| Last updated | Feb 20th, 2023 - about last year |
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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