Kouba, Sammantha Jeane

Kouba, Sammantha Jeane is an sole proprietor health care provider with primary practice located at 5225 23Rd Ave S , Fargo ND 58104-7927. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Kouba, Sammantha Jeane can be contacted via phone (701) 417-2575.

Contact Information

Primary practice address
5225 23Rd Ave S Fargo ND 58104-7927
Phone: (701) 417-2575
Fax: (701) 417-2535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO-05366 Iowa
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X PG172349 Oregon
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 16710 North Dakota

Profile Details

NPI number 1760877344
LBN Legal business name Kouba, Sammantha Jeane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2015
Last updated Apr 19th, 2022 - 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.

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