Ezolt, Samantha K

Ezolt, Samantha K is an individual health care provider with primary practice located at 13 Western Maryland Pkwy Ste 104 , Hagerstown MD 21740-6474. 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. Ezolt, Samantha K can be contacted via phone (301) 665-4575.

Contact Information

Primary practice address
13 Western Maryland Pkwy Ste 104 Hagerstown MD 21740-6474
Phone: (301) 665-4575
Fax: (301) 665-4576
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 Pennsylvania

Profile Details

NPI number 1245885482
LBN Legal business name Ezolt, Samantha K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2019
Last updated Dec 1st, 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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