Grinstead, Samantha Marie

Grinstead, Samantha Marie is an individual health care provider with primary practice located at 1841 Madora Ave , Douglas WY 82633-3057. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Grinstead, Samantha Marie can be contacted via phone (307) 358-2846.

Contact Information

Primary practice address
1841 Madora Ave Douglas WY 82633-3057
Phone: (307) 358-2846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1528390028
LBN Legal business name Grinstead, Samantha Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2010
Last updated Feb 8th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528390028 NPPES
Wyoming MEDICAID 830238944

Popular Providers