Vining, Samantha Jo

Vining, Samantha Jo is an individual health care provider with primary practice located at 150 Health Partners Cir , Mount Orab OH 45154-8610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vining, Samantha Jo can be contacted via phone (937) 444-2514.

Contact Information

Primary practice address
150 Health Partners Cir Mount Orab OH 45154-8610
Phone: (937) 444-2514
Fax: (937) 444-4818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.0028312 Ohio

Profile Details

NPI number 1548853492
LBN Legal business name Vining, Samantha Jo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2021
Last updated Dec 14th, 2022 - about 2 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 1548853492 NPPES
Ohio MEDICAID 0433035

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