Fitzpatrick, Samantha M
Fitzpatrick, Samantha M is an individual health care provider with primary practice located at 30 N 4Th St 2Nd Floor, Lebanon PA 17046-5606. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Fitzpatrick, Samantha M can be contacted via phone (717) 274-0474.Contact Information
Primary practice address
30 N 4Th St 2Nd Floor
Lebanon PA 17046-5606
Phone: (717) 274-0474
Fax: (717) 274-0673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | SW130771 | Pennsylvania |
Profile Details
| NPI number | 1205266236 |
|---|---|
| LBN Legal business name | Fitzpatrick, Samantha M |
| Credentials | SW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2013 |
| Last updated | Dec 2nd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205266236 | NPPES |
| Pennsylvania | MEDICAID | 102878967 |
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