Percich, Samantha
Percich, Samantha is an individual health care provider with primary practice located at 4280 S State Route 159 , Glen Carbon IL 62034-3269. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Percich, Samantha can be contacted via phone (618) 288-4233.Contact Information
Primary practice address
4280 S State Route 159
Glen Carbon IL 62034-3269
Phone: (618) 288-4233
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 2016027389 | Missouri |
Profile Details
| NPI number | 1639623911 |
|---|---|
| LBN Legal business name | Percich, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2016 |
| Last updated | Oct 12th, 2018 - about 8 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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