Samples, Jon Steven

Samples, Jon Steven is an sole proprietor health care provider with primary practice located at 622 E 3Rd Ave , New Smyrna Beach FL 32169-3164. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Samples, Jon Steven can be contacted via phone (386) 428-9327.

Contact Information

Primary practice address
622 E 3Rd Ave New Smyrna Beach FL 32169-3164
Phone: (386) 428-9327
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH6520 Florida

Profile Details

NPI number 1730192774
LBN Legal business name Samples, Jon Steven
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1730192774 NPPES
Florida MEDICAID 380144600

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