Ford, Samuel

Ford, Samuel is an individual health care provider with primary practice located at 515 Millbridge Rd , Laurel Springs NJ 08021-5508. He recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as his primary health care specialty. Ford, Samuel can be contacted via phone (856) 883-1771.

Contact Information

Primary practice address
515 Millbridge Rd Laurel Springs NJ 08021-5508
Phone: (856) 883-1771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1629546452
LBN Legal business name Ford, Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2018
Last updated Nov 9th, 2018 - about 6 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 1629546452 NPPES
Other 0000000000 STERILE

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