Shields, Samantha K

Shields, Samantha K is an individual health care provider with primary practice located at 1400 Hudson St , Elkhart IN 46516-2023. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Shields, Samantha K can be contacted via phone (574) 522-6702.

Contact Information

Primary practice address
1400 Hudson St Elkhart IN 46516-2023
Phone: (574) 522-6702
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 13007572A Indiana

Profile Details

NPI number 1841935475
LBN Legal business name Shields, Samantha K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2022
Last updated Apr 28th, 2022 - 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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