Samper, Edward Ronald
Samper, Edward Ronald is an individual health care provider with primary practice located at 1666 E Bert Kouns Industrial Loop Suite 105, Shreveport LA 71105-5714. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Samper, Edward Ronald can be contacted via phone (318) 212-3520.Contact Information
Primary practice address
1666 E Bert Kouns Industrial Loop Suite 105
Shreveport LA 71105-5714
Phone: (318) 212-3520
Fax: (318) 212-3525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 05522R | Louisiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 05522R | Louisiana |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 0522R | Louisiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.05522R | Louisiana |
Profile Details
| NPI number | 1306875570 |
|---|---|
| LBN Legal business name | Samper, Edward Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Sep 16th, 2014 - about 11 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 | 1306875570 | NPPES |
| Louisiana | MEDICAID | 1351741 |
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