Klinkner, Samantha
Klinkner, Samantha is an individual health care provider with primary practice located at 5300 Memorial Dr , Two Rivers WI 54241-3923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Klinkner, Samantha can be contacted via phone (920) 793-6550.Contact Information
Primary practice address
5300 Memorial Dr
Two Rivers WI 54241-3923
Phone: (920) 793-6550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5840 | Wisconsin |
Profile Details
| NPI number | 1942617220 |
|---|---|
| LBN Legal business name | Klinkner, Samantha |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2014 |
| Last updated | Oct 19th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942617220 | NPPES |
| Wisconsin | MEDICAID | 100038971 |
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