Wiegand, Samantha Nicole

Wiegand, Samantha Nicole is an individual health care provider with primary practice located at 707 N Smiley St , O Fallon IL 62269-1353. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wiegand, Samantha Nicole can be contacted via phone (618) 632-6391.

Contact Information

Primary practice address
707 N Smiley St O Fallon IL 62269-1353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 2379352 Illinois

Profile Details

NPI number 1841919701
LBN Legal business name Wiegand, Samantha Nicole
Credentials ED.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2022
Last updated Aug 24th, 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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