Mccann, Samantha Lea

Mccann, Samantha Lea is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mccann, Samantha Lea can be contacted via phone (401) 444-5943.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00887 Rhode Island

Profile Details

NPI number 1346698024
LBN Legal business name Mccann, Samantha Lea
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2016
Last updated Oct 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346698024 NPPES
Rhode Island Other 05-0483739 TAX ID

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