Couillard, Samantha Ann

Couillard, Samantha Ann is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-8085. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Couillard, Samantha Ann can be contacted via phone (860) 679-2792.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-8085
Phone: (860) 679-2792
Fax: (860) 679-1494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4829 Connecticut

Profile Details

NPI number 1407474430
LBN Legal business name Couillard, Samantha Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2020
Last updated Jan 3rd, 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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