Korolev, Samuel Jacob

Korolev, Samuel Jacob is an individual health care provider with primary practice located at 631 S College Avenue Dfh Athletic Training Room, Newark DE 19716-2010. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Korolev, Samuel Jacob can be contacted via phone (302) 831-8857.

Contact Information

Primary practice address
631 S College Avenue Dfh Athletic Training Room Newark DE 19716-2010
Phone: (302) 831-8857
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1720488018
LBN Legal business name Korolev, Samuel Jacob
Credentials MS, ATC/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2014
Last updated Jan 13th, 2019 - 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.

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