Bertherman, Samantha Marie

Bertherman, Samantha Marie is an individual health care provider with primary practice located at 1466 Broad St , Providence RI 02905-2836. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Bertherman, Samantha Marie can be contacted via phone (401) 941-6221.

Contact Information

Primary practice address
1466 Broad St Providence RI 02905-2836
Phone: (401) 941-6221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Eye and Vision Services Providers / Optometrist 152W00000X ODTG00717 Rhode Island

Profile Details

NPI number 1790353308
LBN Legal business name Bertherman, Samantha Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2021
Last updated Jun 25th, 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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