Blakeslee, Samantha
Blakeslee, Samantha is an individual health care provider with primary practice located at 710 Kresson Rd , Cherry Hill NJ 08003-2604. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Blakeslee, Samantha can be contacted via phone (856) 795-3320.Contact Information
Primary practice address
710 Kresson Rd
Cherry Hill NJ 08003-2604
Phone: (856) 795-3320
Fax: (856) 795-1213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS016691 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 25MB09224400 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MB09224400 | New Jersey |
Profile Details
| NPI number | 1497070353 |
|---|---|
| LBN Legal business name | Blakeslee, Samantha |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2010 |
| Last updated | May 5th, 2023 - about last year |
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 | 1497070353 | NPPES |
| Pennsylvania | MEDICAID | 1028913600001 |
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