Samuel, Benjamin
Samuel, Benjamin is an sole proprietor health care provider with primary practice located at 1308 Barksdale Dr Ne , Leesburg VA 20176-4904. He recently has only one registered license in Behavioral Health & Social Service Providers / Exercise & Sports, which is considered as his primary health care specialty. Samuel, Benjamin can be contacted via phone (571) 528-9278.Contact Information
Primary practice address
1308 Barksdale Dr Ne
Leesburg VA 20176-4904
Phone: (571) 528-9278
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Exercise & Sports | 103TE1100X |
Profile Details
| NPI number | 1730930819 |
|---|---|
| LBN Legal business name | Samuel, Benjamin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2024 |
| Last updated | Mar 28th, 2024 - 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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