Cooke-Sampson, Estelle
Cooke-Sampson, Estelle is an individual health care provider with primary practice located at 2041 Georgia Ave Nw Ste 6101 , Washington DC 20060-5441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Cooke-Sampson, Estelle can be contacted via phone (202) 865-6679.Contact Information
Primary practice address
2041 Georgia Ave Nw Ste 6101
Washington DC 20060-5441
Phone: (202) 865-6679
Fax: (202) 865-3138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD11829 | District of Columbia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0032331 | Maryland |
Profile Details
| NPI number | 1013978261 |
|---|---|
| LBN Legal business name | Cooke-Sampson, Estelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Aug 2nd, 2019 - about 5 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 | 1013978261 | NPPES |
| Maryland | MEDICAID | 387951802 | |
| Maryland | Other | KA80 | |
| Maryland | MEDICAID | 021654800 | |
| Maryland | Other | J062 | |
| Maryland | Other | 2849 |
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