Pyne, Samantha Lee

Pyne, Samantha Lee is an individual health care provider with primary practice located at 301 Industrial Rd , San Carlos CA 94070-2603. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Pyne, Samantha Lee can be contacted via phone (650) 596-4210.

Contact Information

Primary practice address
301 Industrial Rd San Carlos CA 94070-2603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 31005 Oregon
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD3689 California

Profile Details

NPI number 1982372058
LBN Legal business name Pyne, Samantha Lee
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2021
Last updated May 9th, 2022 - about 2 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 1982372058 NPPES
Oregon MEDICAID 500797507

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