Schaefer, Samantha
Schaefer, Samantha is an individual health care provider with primary practice located at 2721 S Pine Meadows Dr , Bloomington IN 47403-3412. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Schaefer, Samantha can be contacted via phone (812) 856-2761.Contact Information
Primary practice address
2721 S Pine Meadows Dr
Bloomington IN 47403-3412
Phone: (812) 856-2761
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 37001690A | Indiana |
Profile Details
| NPI number | 1558574160 |
|---|---|
| LBN Legal business name | Schaefer, Samantha |
| Credentials | MS, RD, LD, FAND |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558574160 | NPPES |
| Indiana | Other | 37001690A | STATE LICENSE |
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