Johnston, Samantha
Johnston, Samantha is an individual health care provider with primary practice located at 51 S Brian Mickelsen Pkwy , Cottonwood AZ 86326-3610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Johnston, Samantha can be contacted via phone (928) 639-8132.Contact Information
Primary practice address
51 S Brian Mickelsen Pkwy
Cottonwood AZ 86326-3610
Phone: (928) 639-8132
Fax: (866) 279-8919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 6297 | Arizona |
Profile Details
| NPI number | 1336514645 |
|---|---|
| LBN Legal business name | Johnston, Samantha |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2015 |
| Last updated | Jun 16th, 2016 - 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 | 1336514645 | NPPES |
| Arizona | MEDICAID | 090822 |
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