Walls, Samantha Diane

Walls, Samantha Diane is an sole proprietor health care provider with primary practice located at 1315 Newton Ave , Batavia IL 60510-4536. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Walls, Samantha Diane can be contacted via phone (630) 219-9848.

Contact Information

Primary practice address
1315 Newton Ave Batavia IL 60510-4536
Phone: (630) 219-9848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.022634 Illinois

Profile Details

NPI number 1710289897
LBN Legal business name Walls, Samantha Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2010
Last updated Oct 13th, 2023 - about 3 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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