Basham, Samantha
Basham, Samantha is an individual health care provider with primary practice located at 200 Clinton St Ste B , Defiance OH 43512-0016. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Basham, Samantha can be contacted via phone (419) 565-9749.Contact Information
Primary practice address
200 Clinton St Ste B
Defiance OH 43512-0016
Phone: (419) 565-9749
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1619485497 |
|---|---|
| LBN Legal business name | Basham, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2018 |
| Last updated | Jan 16th, 2018 - about 6 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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