Sample, Sally A.
Sample, Sally A. is an individual health care provider with primary practice located at 3841 N Freeway Blvd Ste 210 , Sacramento CA 95834-1948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Sample, Sally A. can be contacted via phone (916) 925-7010.Contact Information
Primary practice address
3841 N Freeway Blvd Ste 210
Sacramento CA 95834-1948
Phone: (916) 925-7010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | G85941 | California |
Profile Details
| NPI number | 1346336807 |
|---|---|
| LBN Legal business name | Sample, Sally A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | May 17th, 2016 - about 9 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 | 1346336807 | NPPES |
| California | Other | 90118919 | PACIFICARE |
| California | Other | 1741911 | PACIFICARE |
| California | Other | MCMG171600 | PACIFICARE |
| California | Other | 082689 | PACIFICARE |
| California | Other | 1327116 | PACIFICARE |
| California | Other | 4594534 | PACIFICARE |
| California | Other | G85941 | PACIFICARE |
| California | Other | 46355 | PACIFICARE |
| California | Other | 000810342662 | PACIFICARE |
| California | Other | 1851073 | PACIFICARE |
| California | Other | 3273994 | PACIFICARE |
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