Black, Samantha K

Black, Samantha K is an individual health care provider with primary practice located at 825 Wehrle Dr , Williamsville NY 14221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Black, Samantha K can be contacted via phone (716) 634-3243.

Contact Information

Primary practice address
825 Wehrle Dr Williamsville NY 14221
Fax: (716) 634-6056
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10001929A Indiana

Profile Details

NPI number 1144606351
LBN Legal business name Black, Samantha K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Jul 24th, 2019 - 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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