Oldham, Samuel Dewayne
Oldham, Samuel Dewayne is an individual health care provider with primary practice located at 224 W. D.L. Ingram Ave, Bldg 1408 , Cannon Afb NM 88103. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Oldham, Samuel Dewayne can be contacted via phone (575) 904-3917.Contact Information
Primary practice address
224 W. D.L. Ingram Ave, Bldg 1408
Cannon Afb NM 88103
Phone: (575) 904-3917
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1980 | Alabama |
Profile Details
| NPI number | 1043517089 |
|---|---|
| LBN Legal business name | Oldham, Samuel Dewayne |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2011 |
| Last updated | Feb 21st, 2024 - about 2 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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