Samuel, Keisha

Samuel, Keisha is an sole proprietor health care provider with primary practice located at 776 S 18Th St Fl 2 , Newark NJ 07103-1050. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Samuel, Keisha can be contacted via phone (201) 878-2598.

Contact Information

Primary practice address
776 S 18Th St Fl 2 Newark NJ 07103-1050
Phone: (201) 878-2598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 009963 New York

Profile Details

NPI number 1790321990
LBN Legal business name Samuel, Keisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2019
Last updated Nov 22nd, 2019 - about 7 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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