Sam, Cynthia A

Sam, Cynthia A is an individual health care provider with primary practice located at 530 N Monte Vista St Ste A , Ada OK 74820-4675. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sam, Cynthia A can be contacted via phone (580) 310-9510.

Contact Information

Primary practice address
530 N Monte Vista St Ste A Ada OK 74820-4675
Phone: (580) 310-9510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 75026 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 02009 New Mexico

Profile Details

NPI number 1538319561
LBN Legal business name Sam, Cynthia A
Credentials MS, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2008
Last updated Jun 20th, 2024 - about 6 months 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 1538319561 NPPES
New Mexico Other 271777YM5A MEDICARE
New Mexico MEDICAID 91531551 MEDICARE

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