Walton, Samantha

Walton, Samantha is an sole proprietor health care provider with primary practice located at 8204 Rugby Ct , Hudson FL 34667-2786. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Walton, Samantha can be contacted via phone (419) 455-3613.

Contact Information

Primary practice address
8204 Rugby Ct Hudson FL 34667-2786
Phone: (419) 455-3613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-22-63392 Florida

Profile Details

NPI number 1962850644
LBN Legal business name Walton, Samantha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2016
Last updated Oct 28th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962850644 NPPES
Florida Other 172V00000X COMMUNITY HEALTH WORKER
Florida MEDICAID 172V00000X COMMUNITY HEALTH WORKER

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