Samson, Meghan

Samson, Meghan is an individual health care provider with primary practice located at 13250 Washington Ave , Mount Pleasant WI 53177-1516. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Samson, Meghan can be contacted via phone (888) 720-2012.

Contact Information

Primary practice address
13250 Washington Ave Mount Pleasant WI 53177-1516
Phone: (888) 720-2012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9982-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71010661A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9982 Wisconsin

Profile Details

NPI number 1205453404
LBN Legal business name Samson, Meghan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2020
Last updated Jan 25th, 2024 - about 10 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 1205453404 NPPES
Indiana MEDICAID 300046042
Indiana MEDICAID 100257656

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