Samson, Stacey

Samson, Stacey is an individual health care provider with primary practice located at 153 Hazard Ave , Enfield CT 06082-4592. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Samson, Stacey can be contacted via phone (860) 253-5020.

Contact Information

Primary practice address
153 Hazard Ave Enfield CT 06082-4592
Phone: (860) 253-5020
Fax: (860) 253-5030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1629524756
LBN Legal business name Samson, Stacey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2016
Last updated Aug 30th, 2016 - about 10 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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