Small, Samuel

Small, Samuel is an sole proprietor health care provider with primary practice located at 3606 Jacob Lois Dr , Jacksonville FL 32218-2970. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Small, Samuel can be contacted via phone (904) 483-1870.

Contact Information

Primary practice address
3606 Jacob Lois Dr Jacksonville FL 32218-2970
Phone: (904) 483-1870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1568914174
LBN Legal business name Small, Samuel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2016
Last updated Oct 30th, 2016 - about 8 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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