Sanders, Samuel Bret
Sanders, Samuel Bret is an sole proprietor health care provider with primary practice located at 1507 Lamy Ln Suite C, Monroe LA 71201-3804. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sanders, Samuel Bret can be contacted via phone (318) 323-9500.Contact Information
Primary practice address
1507 Lamy Ln Suite C
Monroe LA 71201-3804
Phone: (318) 323-9500
Fax: (318) 323-9888
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 4654 | Louisiana |
Profile Details
NPI number | 1477664100 |
---|---|
LBN Legal business name | Sanders, Samuel Bret |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 31st, 2006 |
Last updated | Jul 9th, 2007 - about 17 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 | 1477664100 | NPPES |
Louisiana | MEDICAID | 1846546 |
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