Ault, Samantha

Ault, Samantha is an individual health care provider with primary practice located at 930 Bethesda Dr Unit 4 , Zanesville OH 43701-0815. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ault, Samantha can be contacted via phone (740) 569-5737.

Contact Information

Primary practice address
930 Bethesda Dr Unit 4 Zanesville OH 43701-0815
Phone: (740) 569-5737
Fax: (740) 569-5716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.021500 Ohio

Profile Details

NPI number 1831512896
LBN Legal business name Ault, Samantha
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2014
Last updated Jan 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831512896 NPPES
Ohio MEDICAID 2846675

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