Cordum, Samantha N
Cordum, Samantha N is an individual health care provider with primary practice located at 301 Cross Oak Dr Unit 5 , Verona WI 53593-9074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Cordum, Samantha N can be contacted via phone (208) 608-4299.Contact Information
Primary practice address
301 Cross Oak Dr Unit 5
Verona WI 53593-9074
Phone: (208) 608-4299
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 1745 | Wisconsin |
Profile Details
| NPI number | 1679102503 |
|---|---|
| LBN Legal business name | Cordum, Samantha N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2020 |
| Last updated | Jul 1st, 2024 - about 2 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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