Metko, Samantha A

Metko, Samantha A is an sole proprietor health care provider with primary practice located at N3075 Bean City Rd , New London WI 54961-8912. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Metko, Samantha A can be contacted via phone (920) 540-0094.

Contact Information

Primary practice address
N3075 Bean City Rd New London WI 54961-8912
Phone: (920) 540-0094
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-22761
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 661-29 Wisconsin

Profile Details

NPI number 1750948394
LBN Legal business name Metko, Samantha A
Credentials RDN, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2019
Last updated Sep 10th, 2019 - about 7 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 1750948394 NPPES
Wisconsin Other 661-29 STATE OF WISCONSIN: DEPARTMENT OF SAFETY PROFESSIONAL SERVICES
Wisconsin Other L-22761 STATE OF WISCONSIN: DEPARTMENT OF SAFETY PROFESSIONAL SERVICES

Popular Providers