Short, Samuel

Short, Samuel is an sole proprietor health care provider with primary practice located at 3444 Cumberland Falls Hwy , Corbin KY 40701-9056. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Short, Samuel can be contacted via phone (606) 260-0628.

Contact Information

Primary practice address
3444 Cumberland Falls Hwy Corbin KY 40701-9056
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Kentucky

Profile Details

NPI number 1922853886
LBN Legal business name Short, Samuel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2024
Last updated Apr 23rd, 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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