Flannery, Samantha Marie
Flannery, Samantha Marie is an individual health care provider with primary practice located at 501 7Th St , Rockford IL 61104-1242. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Flannery, Samantha Marie can be contacted via phone (815) 227-8400.Contact Information
Primary practice address
501 7Th St
Rockford IL 61104-1242
Phone: (815) 227-8400
Fax: (815) 229-2445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146013576 | Illinois |
Profile Details
| NPI number | 1780073577 |
|---|---|
| LBN Legal business name | Flannery, Samantha Marie |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2015 |
| Last updated | Nov 5th, 2020 - about 6 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 | 1780073577 | NPPES |
| Wisconsin | MEDICAID | 1669860193 |
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