Walker, Samuel

Walker, Samuel is an individual health care provider with primary practice located at 1600 Broad Ave , Gulfport MS 39501-3603. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Walker, Samuel can be contacted via phone (228) 213-5888.

Contact Information

Primary practice address
1600 Broad Ave Gulfport MS 39501-3603
Phone: (228) 213-5888
Fax: (228) 575-3433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 4138 Mississippi

Profile Details

NPI number 1366203077
LBN Legal business name Walker, Samuel
Credentials PCCSSS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2024
Last updated Jan 19th, 2024 - about last year

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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