Crickmore, Samantha Brooke
Crickmore, Samantha Brooke is an individual health care provider with primary practice located at 728 Foxbriar Cv , Jacksonville FL 32221-1508. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Crickmore, Samantha Brooke can be contacted via phone (352) 278-4746.Contact Information
Primary practice address
728 Foxbriar Cv
Jacksonville FL 32221-1508
Phone: (352) 278-4746
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | MW306 | Florida |
Profile Details
| NPI number | 1700325834 |
|---|---|
| LBN Legal business name | Crickmore, Samantha Brooke |
| Credentials | LM, CPM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2017 |
| Last updated | Feb 22nd, 2017 - about 8 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 | 1700325834 | NPPES |
| Florida | Other | 261QB0400X | TAXONOMY |
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