Kobba, Samuel Dominic
Kobba, Samuel Dominic is an individual health care provider with primary practice located at 236 Simpson Ave , Elkhart IN 46516-4666. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Kobba, Samuel Dominic can be contacted via phone (574) 293-0052.Contact Information
Primary practice address
236 Simpson Ave
Elkhart IN 46516-4666
Phone: (574) 293-0052
Fax: (574) 343-1390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000742A | Indiana |
Profile Details
| NPI number | 1811211154 |
|---|---|
| LBN Legal business name | Kobba, Samuel Dominic |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2010 |
| Last updated | Nov 3rd, 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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