Beauchman, Samantha Lynn
Beauchman, Samantha Lynn is an sole proprietor health care provider with primary practice located at 300 2Nd Ave Ne , Jamestown ND 58401-3373. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Beauchman, Samantha Lynn can be contacted via phone (701) 253-4000.Contact Information
Primary practice address
300 2Nd Ave Ne
Jamestown ND 58401-3373
Phone: (701) 253-4000
Fax: (701) 952-6019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1400 | Kansas |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP5687 | Minnesota |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 497 | North Dakota |
Profile Details
| NPI number | 1922387950 |
|---|---|
| LBN Legal business name | Beauchman, Samantha Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2011 |
| Last updated | Sep 30th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922387950 | NPPES |
| Minnesota | MEDICAID | 1922387950 | |
| Minnesota | MEDICAID | 17563 |
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