Sampson, Avery H

Sampson, Avery H is an individual health care provider with primary practice located at 4225 Lapalco Blvd , Marrero LA 70073-2400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sampson, Avery H can be contacted via phone (504) 391-7337.

Contact Information

Primary practice address
4225 Lapalco Blvd Marrero LA 70073-2400
Phone: (504) 391-7337
Fax: (504) 398-7213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X T-1939 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 204871 Louisiana

Profile Details

NPI number 1992916621
LBN Legal business name Sampson, Avery H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992916621 NPPES
Mississippi MEDICAID 08505299
Mississippi MEDICAID 2164571

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