Individual
JOHN STEVEN SAMUELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
836 E 2ND ST, DEFIANCE, OH 43512-2326
(419) 782-0836
(419) 782-0187
Mailing address
836 E 2ND ST, DEFIANCE, OH 43512-2326
(419) 782-0836
(419) 782-0187
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026662
—
OH
Enumeration date
02/22/2007
Last updated
07/08/2007
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