Kouba, Sammantha Jeane
Kouba, Sammantha Jeane is an sole proprietor health care provider with primary practice located at 5225 23Rd Ave S , Fargo ND 58104-7927. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Kouba, Sammantha Jeane can be contacted via phone (701) 417-2575.Contact Information
Primary practice address
5225 23Rd Ave S
Fargo ND 58104-7927
Phone: (701) 417-2575
Fax: (701) 417-2535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO-05366 | Iowa |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | PG172349 | Oregon |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 16710 | North Dakota |
Profile Details
| NPI number | 1760877344 |
|---|---|
| LBN Legal business name | Kouba, Sammantha Jeane |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2015 |
| Last updated | Apr 19th, 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.
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