Boggs, Samantha Irene
Boggs, Samantha Irene is an sole proprietor health care provider with primary practice located at 31 Chris Matt Ct , Bay Shore NY 11706-6731. She recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as her primary health care specialty. Boggs, Samantha Irene can be contacted via phone (631) 968-9196.Contact Information
Primary practice address
31 Chris Matt Ct
Bay Shore NY 11706-6731
Phone: (631) 968-9196
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | 255708-1 | New York |
Profile Details
| NPI number | 1003268863 |
|---|---|
| LBN Legal business name | Boggs, Samantha Irene |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2016 |
| Last updated | Jul 5th, 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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