Brodehl, Samantha Josefine Moana

Brodehl, Samantha Josefine Moana is an sole proprietor health care provider with primary practice located at 1601 E Fourth Plain Blvd , Vancouver WA 98661-3753. She recently has only one registered license in Hospitals / Military General Acute Care Hospital, which is considered as her primary health care specialty. Brodehl, Samantha Josefine Moana can be contacted via phone (360) 696-4061.

Contact Information

Primary practice address
1601 E Fourth Plain Blvd Vancouver WA 98661-3753
Phone: (360) 696-4061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Military General Acute Care Hospital 2865M2000X

Profile Details

NPI number 1346654050
LBN Legal business name Brodehl, Samantha Josefine Moana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2014
Last updated Jun 20th, 2014 - about 10 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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