Cool, Samuel Joseph

Cool, Samuel Joseph is an sole proprietor health care provider with primary practice located at 445 E Dublin Granville Rd , Worthington OH 43085-3192. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Cool, Samuel Joseph can be contacted via phone (614) 844-3800.

Contact Information

Primary practice address
445 E Dublin Granville Rd Worthington OH 43085-3192
Phone: (614) 844-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1235778705
LBN Legal business name Cool, Samuel Joseph
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2020
Last updated May 12th, 2022 - about 2 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 1235778705 NPPES
Ohio MEDICAID 2615030

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