Fisher, Samantha Charlotte

Fisher, Samantha Charlotte is an individual health care provider with primary practice located at 7301 N Knoxville Ave , Peoria IL 61614-2017. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Fisher, Samantha Charlotte can be contacted via phone (309) 589-8051.

Contact Information

Primary practice address
7301 N Knoxville Ave Peoria IL 61614-2017
Phone: (309) 589-8051
Fax: (309) 689-0312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147001794 Illinois

Profile Details

NPI number 1598288060
LBN Legal business name Fisher, Samantha Charlotte
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2017
Last updated Dec 4th, 2023 - about last year

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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