Mulembo, Samuel W.

Mulembo, Samuel W. is an sole proprietor health care provider with primary practice located at 902 S Myrtle Ave , Monrovia CA 91016-3427. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mulembo, Samuel W. can be contacted via phone (626) 303-1541.

Contact Information

Primary practice address
902 S Myrtle Ave Monrovia CA 91016-3427
Fax: (626) 599-9928
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY10165 California

Profile Details

NPI number 1902923873
LBN Legal business name Mulembo, Samuel W.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Jun 6th, 2013 - about 11 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 1902923873 NPPES
California Other 9594126299 TAX ID

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