Dubach, Samantha Jo
Dubach, Samantha Jo is an sole proprietor health care provider with primary practice located at 1700 Commerce Blvd. , Newport AR 72112-2445. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Dubach, Samantha Jo can be contacted via phone (870) 995-5089.Contact Information
Primary practice address
1700 Commerce Blvd.
Newport AR 72112-2445
Phone: (870) 995-5089
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | 11-003 | Arkansas |
Profile Details
| NPI number | 1285913061 |
|---|---|
| LBN Legal business name | Dubach, Samantha Jo |
| Credentials | BA, SLPA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2011 |
| Last updated | Feb 2nd, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285913061 | NPPES |
| Arkansas | MEDICAID | 187291721 |
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