Martin, Samantha
Martin, Samantha is an individual health care provider with primary practice located at Address: 530 Ne Glen Oak Ave , Peoria IL 61637-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Martin, Samantha can be contacted via phone (309) 655-2000.Contact Information
Primary practice address
Address: 530 Ne Glen Oak Ave
Peoria IL 61637-0001
Phone: (309) 655-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 209022870 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209022870 | Illinois |
Profile Details
NPI number | 1396314308 |
---|---|
LBN Legal business name | Martin, Samantha |
Credentials | AGACNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2021 |
Last updated | Jun 23rd, 2021 - about 4 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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