Wiegand, Samantha Lynn
Wiegand, Samantha Lynn is an individual health care provider with primary practice located at 1 Wyoming St Berry Bldg, Ground Floor, Dayton OH 45409-2722. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Wiegand, Samantha Lynn can be contacted via phone (937) 208-2516.Contact Information
Primary practice address
1 Wyoming St Berry Bldg, Ground Floor
Dayton OH 45409-2722
Phone: (937) 208-2516
Fax: (937) 208-6124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 2012-00087 | North Carolina |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 35.085836 | Ohio |
Profile Details
| NPI number | 1578634275 |
|---|---|
| LBN Legal business name | Wiegand, Samantha Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Aug 26th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578634275 | NPPES |
| Ohio | MEDICAID | 2839861 |
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