Mace, Sam

Mace, Sam is an individual health care provider with primary practice located at 3361 Teays Valley Rd , Hurricane WV 25526-9310. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mace, Sam can be contacted via phone (681) 235-3114.

Contact Information

Primary practice address
3361 Teays Valley Rd Hurricane WV 25526-9310
Phone: (681) 235-3114
Fax: (866) 332-2962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1558075135
LBN Legal business name Mace, Sam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2023
Last updated Jan 9th, 2023 - 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.

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