Wojcik, Samantha Katherine

Wojcik, Samantha Katherine is an individual health care provider with primary practice located at 6375 Us Highway 6 , Portage IN 46368-5218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wojcik, Samantha Katherine can be contacted via phone (219) 762-3196.

Contact Information

Primary practice address
6375 Us Highway 6 Portage IN 46368-5218
Phone: (219) 762-3196
Fax: (219) 763-6438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28203495A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71006384A Indiana

Profile Details

NPI number 1225481013
LBN Legal business name Wojcik, Samantha Katherine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2016
Last updated Apr 11th, 2022 - about 3 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 1225481013 NPPES
Indiana MEDICAID 201384100

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