Boatwright, Samantha J.

Boatwright, Samantha J. is an individual health care provider with primary practice located at 625 Cleveland Ave Nw , Canton OH 44702-1805. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Boatwright, Samantha J. can be contacted via phone (330) 455-0374.

Contact Information

Primary practice address
625 Cleveland Ave Nw Canton OH 44702-1805
Phone: (330) 455-0374
Fax: (330) 455-2101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E1100160SUPV Ohio

Profile Details

NPI number 1730440181
LBN Legal business name Boatwright, Samantha J.
Credentials LPCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2012
Last updated Dec 22nd, 2021 - about 5 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 1730440181 NPPES
Ohio MEDICAID 0188702

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