Prata, Samuel

Prata, Samuel is an individual health care provider with primary practice located at 275 Chestnut St # 169 , Newark NJ 07105-1570. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Prata, Samuel can be contacted via phone (973) 465-4410.

Contact Information

Primary practice address
275 Chestnut St # 169 Newark NJ 07105-1570
Phone: (973) 465-4410
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X FEF417A New Jersey

Profile Details

NPI number 1487217238
LBN Legal business name Prata, Samuel
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2019
Last updated Apr 17th, 2019 - about 5 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 1487217238 NPPES
New Jersey MEDICAID SAMUEL8

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