Provider Demographics
NPI:1194009852
Name:SLIGER, SAMUEL HOUSTON
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:HOUSTON
Last Name:SLIGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S CARSON ST
Mailing Address - Street 2:STE 200
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-5262
Mailing Address - Country:US
Mailing Address - Phone:775-720-2537
Mailing Address - Fax:
Practice Address - Street 1:701 S CARSON ST
Practice Address - Street 2:STE 200
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-5262
Practice Address - Country:US
Practice Address - Phone:775-720-2537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner