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Samantha Elam

NPI 1699634048 · on the registry since 2026 · sole proprietor

Practice

Address
2091 Sulky Trl
Beavercreek Township, OH 45434
Phone
(937) 542-1844

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio