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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
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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