Wood, Samuel

Wood, Samuel is an sole proprietor health care provider with primary practice located at 803 Grove Ave , Imperial Beach CA 91932. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Wood, Samuel can be contacted via phone (517) 414-9304.

Contact Information

Primary practice address
803 Grove Ave Imperial Beach CA 91932
Phone: (517) 414-9304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 95071479 California

Profile Details

NPI number 1003277856
LBN Legal business name Wood, Samuel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2016
Last updated Mar 8th, 2016 - about 10 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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