Maciolek, Samantha
Maciolek, Samantha is an individual health care provider with primary practice located at 10571 Telegraph Rd Ste 110 , Glen Allen VA 23059-4652. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Maciolek, Samantha can be contacted via phone (804) 266-9616.Contact Information
Primary practice address
10571 Telegraph Rd Ste 110
Glen Allen VA 23059-4652
Phone: (804) 266-9616
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 0024188483 | Virginia |
Profile Details
| NPI number | 1003688862 |
|---|---|
| LBN Legal business name | Maciolek, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2023 |
| Last updated | Oct 25th, 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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