Samuels, Ashley

Samuels, Ashley is an individual health care provider with primary practice located at 1040 Waltham St , Lexington MA 02421-8033. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Samuels, Ashley can be contacted via phone (781) 761-5090.

Contact Information

Primary practice address
1040 Waltham St Lexington MA 02421-8033
Phone: (781) 761-5090
Fax: (781) 860-0589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN2290987 Massachusetts

Profile Details

NPI number 1790185650
LBN Legal business name Samuels, Ashley
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2014
Last updated Aug 28th, 2014 - about 11 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 1790185650 NPPES
Massachusetts Other 042611055 TAX ID
Massachusetts Other 1004745 TAX ID
Massachusetts Other 0000023532 TAX ID
Massachusetts Other 1303287 TAX ID
Massachusetts MEDICAID 1303287 TAX ID
Massachusetts Other 99618201 TAX ID
Massachusetts Other M18633 TAX ID

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