Echols, Samuel Lee
Echols, Samuel Lee is an individual health care provider with primary practice located at 3478 Martha Berry Hwy Ne , Rome GA 30165-7713. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Echols, Samuel Lee can be contacted via phone (706) 204-8548.Contact Information
Primary practice address
3478 Martha Berry Hwy Ne
Rome GA 30165-7713
Phone: (706) 204-8548
Fax: (866) 858-7371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT004801 | Georgia |
Profile Details
| NPI number | 1396741583 |
|---|---|
| LBN Legal business name | Echols, Samuel Lee |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396741583 | NPPES |
| Georgia | Other | P00319887 | RR MEDICARE |
| Georgia | MEDICAID | 000802645C,E,L,M,N,P | RR MEDICARE |
| Georgia | MEDICAID | 000802645T,R,U,V,W,X | RR MEDICARE |
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