Jeckering, Samantha
Jeckering, Samantha is an sole proprietor health care provider with primary practice located at 323 N Broad St , Fairborn OH 45324-4934. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jeckering, Samantha can be contacted via phone (937) 318-8103.Contact Information
Primary practice address
323 N Broad St
Fairborn OH 45324-4934
Phone: (937) 318-8103
Fax: (937) 400-2347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1841967486 |
|---|---|
| LBN Legal business name | Jeckering, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2021 |
| Last updated | Aug 23rd, 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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