Samples, Deborah J

Samples, Deborah J is an individual health care provider with primary practice located at 122 Columbus Rd , Fredericktown OH 43019-1266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Samples, Deborah J can be contacted via phone (740) 694-1261.

Contact Information

Primary practice address
122 Columbus Rd Fredericktown OH 43019-1266
Phone: (740) 694-1261
Fax: (740) 694-7145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.12739 Ohio

Profile Details

NPI number 1346519543
LBN Legal business name Samples, Deborah J
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2011
Last updated Mar 18th, 2021 - about 4 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 1346519543 NPPES
Ohio MEDICAID 0063151

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