Zack, Samuel Alan

Zack, Samuel Alan is an individual health care provider with primary practice located at 981 Rollins Ave , Rockville MD 20852-5615. 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. Zack, Samuel Alan can be contacted via phone (240) 777-1683.

Contact Information

Primary practice address
981 Rollins Ave Rockville MD 20852-5615
Phone: (240) 777-1683
Fax: (240) 777-4169
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X SC0938 Maryland

Profile Details

NPI number 1457739112
LBN Legal business name Zack, Samuel Alan
Credentials CSC-AD, NCC, ADS
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2015
Last updated May 14th, 2015 - about 11 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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