Robertson, Samuel

Robertson, Samuel is an sole proprietor health care provider with primary practice located at 2377 Market Dr , Fleming Island FL 32003-4326. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Robertson, Samuel can be contacted via phone (904) 579-4779.

Contact Information

Primary practice address
2377 Market Dr Fleming Island FL 32003-4326
Phone: (904) 579-4779
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1467904581
LBN Legal business name Robertson, Samuel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2016
Last updated Feb 16th, 2023 - about last year

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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