Mall, Samantha Anne
Mall, Samantha Anne is an individual health care provider with primary practice located at 19401 Northline Rd , Southgate MI 48195-2277. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Illustration, Medical, which is considered as her primary health care specialty. Mall, Samantha Anne can be contacted via phone (734) 785-7700.Contact Information
Primary practice address
19401 Northline Rd
Southgate MI 48195-2277
Phone: (734) 785-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Illustration, Medical | 246ZI1000X |
Profile Details
| NPI number | 1396337275 |
|---|---|
| LBN Legal business name | Mall, Samantha Anne |
| Credentials | LLMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2021 |
| Last updated | Feb 14th, 2023 - 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.
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