Mitchell, Samantha Helene
Mitchell, Samantha Helene is an individual health care provider with primary practice located at 90 Ridgewood Dr , Bangor ME 04401-2652. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mitchell, Samantha Helene can be contacted via phone (207) 942-0669.Contact Information
Primary practice address
90 Ridgewood Dr
Bangor ME 04401-2652
Phone: (207) 942-0669
Fax: (207) 947-3143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | CNP121048 | Maine |
Profile Details
| NPI number | 1861755209 |
|---|---|
| LBN Legal business name | Mitchell, Samantha Helene |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2012 |
| Last updated | May 10th, 2017 - about 8 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 | 1861755209 | NPPES |
| Maine | Other | 1952536880 | NPI |
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