Newbould, Samantha J
Newbould, Samantha J is an individual health care provider with primary practice located at 4112 Harbour Pointe Blvd Sw Ste 100, Mukilteo WA 98275-5457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Newbould, Samantha J can be contacted via phone (425) 347-6330.Contact Information
Primary practice address
4112 Harbour Pointe Blvd Sw Ste 100
Mukilteo WA 98275-5457
Phone: (425) 347-6330
Fax: (425) 347-6335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD24750 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | P1479 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60611291 | Washington |
Profile Details
| NPI number | 1790763282 |
|---|---|
| LBN Legal business name | Newbould, Samantha J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Feb 25th, 2016 - about 9 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 | 1790763282 | NPPES |
| Texas | MEDICAID | 294832501 | |
| Texas | MEDICAID | 297480 | |
| Texas | MEDICAID | 294832502 |
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