Hodges, Samantha Gammill

Hodges, Samantha Gammill is an individual health care provider with primary practice located at 515 Read St , Evansville IN 47710-1739. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Hodges, Samantha Gammill can be contacted via phone (812) 424-9291.

Contact Information

Primary practice address
515 Read St Evansville IN 47710-1739
Phone: (812) 424-9291
Fax: (812) 421-2722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71001916A Indiana

Profile Details

NPI number 1790850550
LBN Legal business name Hodges, Samantha Gammill
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jun 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790850550 NPPES
Indiana Other 000000576607 BLUE CROSS BLUE SHIELD
Indiana MEDICAID 7100083640 BLUE CROSS BLUE SHIELD
Indiana MEDICAID 200885860 BLUE CROSS BLUE SHIELD
Indiana Other K142950 BLUE CROSS BLUE SHIELD

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