Sam, Tina

Sam, Tina is an individual health care provider with primary practice located at 2300 Foothill Blvd , Rock Springs WY 82901-5610. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sam, Tina can be contacted via phone (307) 352-6677.

Contact Information

Primary practice address
2300 Foothill Blvd Rock Springs WY 82901-5610
Phone: (307) 352-6677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1043453822
LBN Legal business name Sam, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2009
Last updated Apr 9th, 2009 - about 16 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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