Ward, Samantha A.

Ward, Samantha A. is an individual health care provider with primary practice located at 1400 Sudderth Dr. , Ruidoso NM 88345. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Ward, Samantha A. can be contacted via phone (575) 630-0571.

Contact Information

Primary practice address
1400 Sudderth Dr. Ruidoso NM 88345
Fax: (575) 630-0574
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1902120694
LBN Legal business name Ward, Samantha A.
Credentials BMS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2010
Last updated Apr 7th, 2014 - about 11 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 1902120694 NPPES
New Mexico MEDICAID 18677037

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