Bark, Samantha Elizabeth

Bark, Samantha Elizabeth is an individual health care provider with primary practice located at 955 Hosford Rd , Galion OH 44833-9325. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Bark, Samantha Elizabeth can be contacted via phone (419) 468-7059.

Contact Information

Primary practice address
955 Hosford Rd Galion OH 44833-9325
Phone: (419) 468-7059
Fax: (419) 468-6962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 003623 Ohio

Profile Details

NPI number 1720246929
LBN Legal business name Bark, Samantha Elizabeth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2008
Last updated Dec 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720246929 NPPES
Ohio MEDICAID 0799159

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