Cowan, Samantha Nissi
Cowan, Samantha Nissi is an individual health care provider with primary practice located at 420 Sooner Dr , Burns Flat OK 73624-0569. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Cowan, Samantha Nissi can be contacted via phone (580) 562-4882.Contact Information
Primary practice address
420 Sooner Dr
Burns Flat OK 73624-0569
Phone: (580) 562-4882
Fax: (580) 562-4880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1487389433 |
|---|---|
| LBN Legal business name | Cowan, Samantha Nissi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2022 |
| Last updated | Jul 22nd, 2022 - about 3 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 | 1487389433 | NPPES |
| Oklahoma | MEDICAID | 1982861134 |
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