Roadruck, Samantha
Roadruck, Samantha is an individual health care provider with primary practice located at 8762 Louisiana St Ste J , Merrillville IN 46410-7190. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Roadruck, Samantha can be contacted via phone (219) 472-0628.Contact Information
Primary practice address
8762 Louisiana St Ste J
Merrillville IN 46410-7190
Phone: (219) 472-0628
Fax: (219) 750-9287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1881233013 |
|---|---|
| LBN Legal business name | Roadruck, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2020 |
| Last updated | Jan 6th, 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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