Smith, Samuel Bardwell
Smith, Samuel Bardwell is an sole proprietor health care provider with primary practice located at 1279 Linda Mar Shopping Ctr Suite 112, Pacifica CA 94044-3347. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Samuel Bardwell can be contacted via phone (650) 228-4981.Contact Information
Primary practice address
1279 Linda Mar Shopping Ctr Suite 112
Pacifica CA 94044-3347
Phone: (650) 228-4981
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 20860 | California |
Profile Details
| NPI number | 1285805846 |
|---|---|
| LBN Legal business name | Smith, Samuel Bardwell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2008 |
| Last updated | Mar 21st, 2008 - 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.
Popular Providers
-
Ciula, Bryan A
850 N Harrison St Attn: Anne Lawson, Warsaw IN 46580-3163 -
Tunnell, Gilbert B
222 W 14Th St Apt 10C, New York NY 10011-7209 -
Pellino-Benner, Maryann Elizabeth
106 San Jose Ave , Pacifica CA 94044-2700 -
Leavitt, Barry M
4801 W Peterson Ave Ste 525, Chicago IL 60646 -
Staubsinger, Arlene Beth
8100 Oswego Rd Ste 235, Liverpool NY 13090-1660 -
Polk, Andrea
80 Eureka Square Suite 124, Pacifica CA 94044 -
Okon, Deborah Mcneil
315 W Reinken Ave Ste C, Belen NM 87002-4257 -
Sigler, Todd Michael
1935 County Road B2 W Ste 270 , Roseville MN 55113-2785