Nelson, Samantha
Nelson, Samantha is an individual health care provider with primary practice located at 2842 S Business Dr , Sheboygan WI 53081-6518. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Nelson, Samantha can be contacted via phone (920) 458-6527.Contact Information
Primary practice address
2842 S Business Dr
Sheboygan WI 53081-6518
Phone: (920) 458-6527
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 16682-130 | Wisconsin |
Profile Details
| NPI number | 1194177832 |
|---|---|
| LBN Legal business name | Nelson, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2016 |
| Last updated | Jul 6th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194177832 | NPPES |
| Wisconsin | MEDICAID | 100013852 |
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