Samuels, Shannon M

Samuels, Shannon M is an sole proprietor health care provider with primary practice located at 1233 Main St , Holyoke MA 01040. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Samuels, Shannon M can be contacted via phone (413) 539-2436.

Contact Information

Primary practice address
1233 Main St Holyoke MA 01040
Fax:
Website:

Health care specialties

Profile Details

NPI number 1689925430
LBN Legal business name Samuels, Shannon M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2012
Last updated Sep 19th, 2012 - about 13 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 1689925430 NPPES
Massachusetts MEDICAID 1629062906

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