King, Samantha Beth

King, Samantha Beth is an individual health care provider with primary practice located at 4855 W Centre Ave , Portage MI 49024-4686. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. King, Samantha Beth can be contacted via phone (269) 372-2709.

Contact Information

Primary practice address
4855 W Centre Ave Portage MI 49024-4686
Phone: (269) 372-2709
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000471 Michigan

Profile Details

NPI number 1679752042
LBN Legal business name King, Samantha Beth
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2007
Last updated Dec 30th, 2022 - about 4 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 1679752042 NPPES
Michigan Other 640A312270 BCBS

Popular Providers