Lewis, Samantha Sharron

Lewis, Samantha Sharron is an individual health care provider with primary practice located at 182 Roy Campbell Dr , Hazard KY 41701-9407. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lewis, Samantha Sharron can be contacted via phone (606) 435-0888.

Contact Information

Primary practice address
182 Roy Campbell Dr Hazard KY 41701-9407
Phone: (606) 435-0888
Fax: (606) 435-0886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3009079 Kentucky

Profile Details

NPI number 1730585035
LBN Legal business name Lewis, Samantha Sharron
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2014
Last updated Aug 7th, 2023 - about 3 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 1730585035 NPPES
Kentucky MEDICAID 7100332490

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