DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTICE SAMUELS

Active Sole Proprietor

JUSTICE SAMUELS is a Community Health Worker healthcare provider located in FAIRMONT, West Virginia. NPI 1477145431 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · FAIRMONT, WV

Registration Details

NPI Number
1477145431
Provider Type
Individual
Gender
Male
NPI Issued
Feb 10, 2021 (5.3211554632166 yrs)
Last Updated
Feb 10, 2021
Sole Proprietor
Yes

Practice Information

Address
200 BRADDOCK ST
FAIRMONT, WV, 265542208
Browse WV providers · Browse ZIP 26554
Phone
3045022550
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in FAIRMONT, WV

Name Credential NPI
MR. RICHARD JAMES GERLACH MA, NCC 1386915080
ICEY DAWN GOODRICH 1720676059
JENNIFER DERBY 1306438817
ELIZABETH WOLFE 1861084238
SHANNON BARNETTE 1700478773
ROSE FLANAGAN 1629660527
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.