Sampson, Carly Briann
Sampson, Carly Briann is an sole proprietor health care provider with primary practice located at 1102 W Hayden Ave Suite A, Hayden ID 83835. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Sampson, Carly Briann can be contacted via phone (208) 620-7150.Contact Information
Primary practice address
1102 W Hayden Ave Suite A
Hayden ID 83835
Phone: (208) 620-7150
Fax: (208) 620-7120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00024004 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MAS4614 | Idaho |
Profile Details
| NPI number | 1972791556 |
|---|---|
| LBN Legal business name | Sampson, Carly Briann |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Oct 12th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972791556 | NPPES |
| Washington | Other | 0222574 | WA DEPT.LABOR&INDUSTRIES |
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