Samra, George
Samra, George is an sole proprietor health care provider with primary practice located at 15614 1St Ave S , Burien WA 98148-1209. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Samra, George can be contacted via phone (206) 248-8976.Contact Information
Primary practice address
15614 1St Ave S
Burien WA 98148-1209
Phone: (206) 248-8976
Fax: (206) 248-8976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA00011379 | Washington |
Profile Details
| NPI number | 1992923809 |
|---|---|
| LBN Legal business name | Samra, George |
| Credentials | L.M.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1992923809 | NPPES |
| Washington | Other | 123618 | L&I PROVIDER NUMBER |
| Washington | Other | MA00011379 | L&I PROVIDER NUMBER |
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