Ticchi-Junkins, Samantha J

Ticchi-Junkins, Samantha J is an individual health care provider with primary practice located at 2109 Hughes Dr 220, Toledo OH 43606-3856. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Ticchi-Junkins, Samantha J can be contacted via phone (419) 291-5150.

Contact Information

Primary practice address
2109 Hughes Dr 220 Toledo OH 43606-3856
Fax: (419) 479-6173
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50-003056 Ohio

Profile Details

NPI number 1790004596
LBN Legal business name Ticchi-Junkins, Samantha J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2010
Last updated Nov 3rd, 2023 - about last year

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 1790004596 NPPES
Ohio MEDICAID 0074294

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