Pankiw, Samantha Rose

Pankiw, Samantha Rose is an sole proprietor health care provider with primary practice located at 12 Daniel Dr , Cedar Grove NJ 07009-1527. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Pankiw, Samantha Rose can be contacted via phone (551) 689-8359.

Contact Information

Primary practice address
12 Daniel Dr Cedar Grove NJ 07009-1527
Phone: (551) 689-8359
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86052714 New Jersey

Profile Details

NPI number 1821725565
LBN Legal business name Pankiw, Samantha Rose
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2022
Last updated Aug 3rd, 2022 - about 2 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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