Samuel, Alan Lee
Samuel, Alan Lee is an sole proprietor health care provider with primary practice located at 615 Harris St , Eureka CA 95503-4447. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Samuel, Alan Lee can be contacted via phone (707) 442-1754.Contact Information
Primary practice address
615 Harris St
Eureka CA 95503-4447
Phone: (707) 442-1754
Fax: (707) 442-1755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 24852 | California |
Profile Details
| NPI number | 1710033618 |
|---|---|
| LBN Legal business name | Samuel, Alan Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jun 25th, 2013 - about 13 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 | 1710033618 | NPPES |
| California | Other | 24852 | DENTAL LICSENS |
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