Mussallam, Sam

Mussallam, Sam is an sole proprietor health care provider with primary practice located at 524 Presidio Pl , Tracy CA 95377-8508. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Mussallam, Sam can be contacted via phone (209) 237-7105.

Contact Information

Primary practice address
524 Presidio Pl Tracy CA 95377-8508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1124636592
LBN Legal business name Mussallam, Sam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2020
Last updated Jul 21st, 2020 - about 4 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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