Individual
JOEL L SAMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
377 W MAIN ST, SUITE100, LEOLA, PA 17540-1760
(717) 656-6122
(717) 656-0142
Mailing address
PO BOX 398, BROWNSTOWN, PA 17508-0398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002216L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000041591
BLUE SHIELD
—
05
—
0006082170005
—
PA
01
—
0041591
KEYSTONE
—
01
—
4597687
AETNA
—
01
—
50051237
BLUE CROSS
—
01
—
P002411
GATEWAY
—
01
—
P00257504
RR MEDICARE
—
Enumeration date
07/03/2006
Last updated
03/26/2010
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