Samuel Jacob Vaiselberg
Samuel Jacob Vaiselberg is a Supports Brokerage Agency in Beachwood, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2585 Larchmont RdBeachwood, OH 44122-1515
Phone: (786) 681-8434
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Specialties & licences
| Supports Brokerage Agency (primary) | Taxonomy 251X00000X |
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Record details
| NPI number | 1639997885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 27, 2024 |
| Last updated in NPPES | September 27, 2024 |
| Certification date | September 27, 2024 |
| Mailing address | 2585 Larchmont Rd, Beachwood, OH 44122-1515 |