Wootten, Samuel Wesley

Wootten, Samuel Wesley is an individual health care provider with primary practice located at 126 Doreen Dr , Hummelstown PA 17036-2724. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Wootten, Samuel Wesley can be contacted via phone (717) 566-4525.

Contact Information

Primary practice address
126 Doreen Dr Hummelstown PA 17036-2724
Phone: (717) 566-4525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1104365055
LBN Legal business name Wootten, Samuel Wesley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2017
Last updated Feb 13th, 2017 - about 8 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.

Request for update

Popular Providers