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Contact Information

HEIDI J SAM, MASSAGE PRACTITIONER
130 NORTH MAIN STREET
OMAK, WA98841
 Phone: 509-322-4536
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for HEIDI J SAM · (Female)

NPI # 1316146657
Status Active
Credentials MASSAGE PRACTITIONER
Entity Individual
Enumeration date 07/17/2007
Last updated 07/17/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MA00015565
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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