Samuda, Kenneth Earl
Samuda, Kenneth Earl is an individual health care provider with primary practice located at 13180 Gaston Ave , Laurinburg NC 28352-5952. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Samuda, Kenneth Earl can be contacted via phone (910) 318-2176.Contact Information
Primary practice address
13180 Gaston Ave
Laurinburg NC 28352-5952
Phone: (910) 318-2176
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | North Carolina | |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1740991041 |
|---|---|
| LBN Legal business name | Samuda, Kenneth Earl |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2022 |
| Last updated | Dec 7th, 2022 - about 4 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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