Faragallah, Samir B
Faragallah, Samir B is an sole proprietor health care provider with primary practice located at 3505 Camino Del Rio S Ste 120 , San Diego CA 92108-4015. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Faragallah, Samir B can be contacted via phone (619) 683-2220.Contact Information
Primary practice address
3505 Camino Del Rio S Ste 120
San Diego CA 92108-4015
Phone: (619) 683-2220
Fax: (619) 677-2668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 10642 | California |
Profile Details
| NPI number | 1245339159 |
|---|---|
| LBN Legal business name | Faragallah, Samir B |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245339159 | NPPES |
| California | Other | DC0106420 | BLUE SHIELD OF CA |
| California | MEDICAID | DC0106420 | BLUE SHIELD OF CA |
| California | Other | 10642 | BLUE SHIELD OF CA |
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