Nix, Samuel Allen
Nix, Samuel Allen is an individual health care provider with primary practice located at 3809 E 9Th St Ste 15 , Texarkana AR 71854-5818. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Nix, Samuel Allen can be contacted via phone (870) 621-0080.Contact Information
Primary practice address
3809 E 9Th St Ste 15
Texarkana AR 71854-5818
Phone: (870) 621-0080
Fax: (870) 621-0081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A004574 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP127398 | Texas |
Profile Details
| NPI number | 1780075473 |
|---|---|
| LBN Legal business name | Nix, Samuel Allen |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2015 |
| Last updated | May 24th, 2024 - about 2 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 | 1780075473 | NPPES |
| Arkansas | MEDICAID | 211556758 |
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