National Provider Identifier Database

WALTER VAN SAMBECK
Professional


Contact Information

WALTER VAN SAMBECK
244 S MAIN ST
COLCHESTER, CT06415-1405
Phone: 860-537-3977
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Addiction (Substance Use Disorder) 101YA0400X
Prescribing (Medical) 103TP0016X

* Indicates primary specialty

NPI Profile & details for WALTER VAN SAMBECK

NPI Number 1538342829
Legal business name
LBN
WALTER VAN SAMBECK
Authorized official WALTER VAN SAMBECK - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/10/2007
Last updated 06/16/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 000493
  • CT License #: 023879
  • Other: 1275632994 NPI
  • Other: 1437218823 NPI

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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