Moery, Samantha C.

Moery, Samantha C. is an individual health care provider with primary practice located at 302 N Independence Street Suite 600, Enid OK 73701-4025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moery, Samantha C. can be contacted via phone (580) 242-1300.

Contact Information

Primary practice address
302 N Independence Street Suite 600 Enid OK 73701-4025
Fax: (580) 237-7913
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4317 Oklahoma

Profile Details

NPI number 1578611935
LBN Legal business name Moery, Samantha C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 19th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578611935 NPPES
Oklahoma MEDICAID 200118930A
Oklahoma Other P00442024

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