Dillman, Samantha A.

Dillman, Samantha A. is an individual health care provider with primary practice located at 4199 Gateway Blvd , Newburgh IN 47630-8940. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dillman, Samantha A. can be contacted via phone (812) 842-4200.

Contact Information

Primary practice address
4199 Gateway Blvd Newburgh IN 47630-8940
Phone: (812) 842-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10002828A Indiana

Profile Details

NPI number 1366085789
LBN Legal business name Dillman, Samantha A.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2019
Last updated May 14th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366085789 NPPES
Indiana MEDICAID 300032484
Indiana Other 10002828A

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