Roesch, Samantha

Roesch, Samantha is an individual health care provider with primary practice located at 100 E Lancaster Ave The Heart Pavilion, Mezzanine Level, Wynnewood PA 19096-3450. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Roesch, Samantha can be contacted via phone (484) 476-1000.

Contact Information

Primary practice address
100 E Lancaster Ave The Heart Pavilion, Mezzanine Level Wynnewood PA 19096-3450
Phone: (484) 476-1000
Fax: (484) 476-9000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP009229 Pennsylvania

Profile Details

NPI number 1144494170
LBN Legal business name Roesch, Samantha
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Jun 23rd, 2015 - about 11 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 1144494170 NPPES
Pennsylvania Other 23-2359401 MLHC TAX ID

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