Jones, Samuel

Jones, Samuel is an individual health care provider with primary practice located at 305 E Main St , Elizabeth City NC 27909. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jones, Samuel can be contacted via phone (252) 335-0803.

Contact Information

Primary practice address
305 E Main St Elizabeth City NC 27909
Phone: (252) 335-0803
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C001634 North Carolina

Profile Details

NPI number 1538210265
LBN Legal business name Jones, Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1538210265 NPPES
North Carolina Other 1278G BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 6003291 BLUE CROSS BLUE SHIELD

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