Russin, Samantha Jo

Russin, Samantha Jo is an individual health care provider with primary practice located at 1000 Alliance Dr , Hazle Township PA 18202-3234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Russin, Samantha Jo can be contacted via phone (570) 501-6450.

Contact Information

Primary practice address
1000 Alliance Dr Hazle Township PA 18202-3234
Phone: (570) 501-6450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA063121 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA005919 Pennsylvania

Profile Details

NPI number 1760140529
LBN Legal business name Russin, Samantha Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2021
Last updated Nov 29th, 2021 - about 3 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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