Cassidy, Samantha Lindsey Leah

Cassidy, Samantha Lindsey Leah is an sole proprietor health care provider with primary practice located at 1233 Sherman Dr , Longmont CO 80501-6133. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Cassidy, Samantha Lindsey Leah can be contacted via phone (720) 449-6676.

Contact Information

Primary practice address
1233 Sherman Dr Longmont CO 80501-6133
Fax:
Website:

Health care specialties

Profile Details

NPI number 1902470735
LBN Legal business name Cassidy, Samantha Lindsey Leah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2021
Last updated May 17th, 2021 - about 5 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 1902470735 NPPES
Colorado MEDICAID 814442229

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