Chambers, Samantha R

Chambers, Samantha R is an individual health care provider with primary practice located at 1271 California St , Imperial Beach CA 91932-3213. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chambers, Samantha R can be contacted via phone (619) 373-4536.

Contact Information

Primary practice address
1271 California St Imperial Beach CA 91932-3213
Phone: (619) 373-4536
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005670A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95005849 California

Profile Details

NPI number 1851768667
LBN Legal business name Chambers, Samantha R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2015
Last updated May 22nd, 2020 - about 6 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 1851768667 NPPES
Indiana Other 71005670A IN LICENSE
Indiana MEDICAID 1851768667 IN LICENSE
Indiana Other 95102617 IN LICENSE
Indiana Other 95005849 IN LICENSE

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