Dial, Samantha Jane

Dial, Samantha Jane is an individual health care provider with primary practice located at 415 N 9Th St Suite 2W94, Springfield IL 62702-5303. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Dial, Samantha Jane can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
415 N 9Th St Suite 2W94 Springfield IL 62702-5303
Phone: (217) 545-8000
Fax: (217) 545-8115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 11016216A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-140151 Illinois

Profile Details

NPI number 1669767562
LBN Legal business name Dial, Samantha Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2011
Last updated Oct 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669767562 NPPES
Illinois MEDICAID 036140151

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