Wise, Samantha Renee
Wise, Samantha Renee is an individual health care provider with primary practice located at 1 Medical Center Dr , Morgantown WV 26506-1200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wise, Samantha Renee can be contacted via phone (304) 598-4000.Contact Information
Primary practice address
1 Medical Center Dr
Morgantown WV 26506-1200
Phone: (304) 598-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 107473 | West Virginia |
Profile Details
NPI number | 1578179081 |
---|---|
LBN Legal business name | Wise, Samantha Renee |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2020 |
Last updated | Jul 23rd, 2021 - 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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