Kreilis, Samantha Jo
Kreilis, Samantha Jo is an individual health care provider with primary practice located at 655 E Huntington Dr , Monrovia CA 91016-3636. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Kreilis, Samantha Jo can be contacted via phone (626) 471-9922.Contact Information
Primary practice address
655 E Huntington Dr
Monrovia CA 91016-3636
Phone: (626) 471-9922
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Genetic Counselor, MS | 170300000X | GC001115 | California |
Profile Details
| NPI number | 1215596796 |
|---|---|
| LBN Legal business name | Kreilis, Samantha Jo |
| Credentials | MS, CGC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2019 |
| Last updated | Apr 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215596796 | NPPES |
| Other | 19205 | AMERICAN BOARD OF GENETIC COUNSELORS |
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