Smith, Samuel Lee

Smith, Samuel Lee is an sole proprietor health care provider with primary practice located at 80 Phoenix Ave , Waterbury CT 06702-1418. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as his primary health care specialty. Smith, Samuel Lee can be contacted via phone (203) 756-8021.

Contact Information

Primary practice address
80 Phoenix Ave Waterbury CT 06702-1418
Fax: (203) 596-9038
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 000491 Connecticut

Profile Details

NPI number 1447467378
LBN Legal business name Smith, Samuel Lee
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Jul 8th, 2007 - about 18 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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