Percich, Samantha

Percich, Samantha is an individual health care provider with primary practice located at 4280 S State Route 159 , Glen Carbon IL 62034-3269. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Percich, Samantha can be contacted via phone (618) 288-4233.

Contact Information

Primary practice address
4280 S State Route 159 Glen Carbon IL 62034-3269
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 2016027389 Missouri

Profile Details

NPI number 1639623911
LBN Legal business name Percich, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2016
Last updated Oct 12th, 2018 - about 7 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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