Samuels, Sean Eric
Samuels, Sean Eric is an individual health care provider with primary practice located at 4545 S 86Th St , Lincoln NE 68526-9227. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Samuels, Sean Eric can be contacted via phone (402) 483-6990.Contact Information
Primary practice address
4545 S 86Th St
Lincoln NE 68526-9227
Phone: (402) 483-6990
Fax: (402) 483-7045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 624 | Nebraska |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 624 | Nebraska |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 624 | Nebraska |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 624 | Nebraska |
Profile Details
| NPI number | 1215969514 |
|---|---|
| LBN Legal business name | Samuels, Sean Eric |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 9th, 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 | 1215969514 | NPPES |
| Nebraska | MEDICAID | 10024969000 | |
| Nebraska | MEDICAID | 47079871700 | |
| Nebraska | MEDICAID | 10024968900 | |
| Nebraska | MEDICAID | 470798717-26 | |
| Nebraska | MEDICAID | 470798717-27 | |
| Nebraska | MEDICAID | 470798717-29 | |
| Nebraska | Other | 246565 | |
| Nebraska | Other | D80001 |
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