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Contact Information

SAMANTHA G YEAGY, ATC
11700 S E 00 W
FAIRMOUNT, IN46928-9318
 Phone: 765-618-3279
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SAMANTHA G YEAGY · (Female)

NPI # 1760012181
Status Active
Credentials ATC
Entity Individual
Enumeration date 01/24/2020
Last updated 01/24/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 36002191A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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