Sullivan, Samantha
Sullivan, Samantha is an sole proprietor health care provider with primary practice located at 2200 1St St Apt 312 , Alamogordo NM 88310-3405. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Sullivan, Samantha can be contacted via phone (575) 551-1762.Contact Information
Primary practice address
2200 1St St Apt 312
Alamogordo NM 88310-3405
Phone: (575) 551-1762
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 1002021 | New Mexico |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | LD-0775 | New Mexico |
Profile Details
| NPI number | 1821397969 |
|---|---|
| LBN Legal business name | Sullivan, Samantha |
| Credentials | MS, RD, LD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2011 |
| Last updated | Mar 15th, 2011 - about 14 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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