Sampson, Ellen E
Sampson, Ellen E is an individual health care provider with primary practice located at 1261 Furnace Brook Pkwy Suite 31, Quincy MA 02169. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Sampson, Ellen E can be contacted via phone (617) 479-4545.Contact Information
Primary practice address
1261 Furnace Brook Pkwy Suite 31
Quincy MA 02169
Phone: (617) 479-4545
Fax: (617) 479-4555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 172153 | Massachusetts |
Profile Details
| NPI number | 1023022662 |
|---|---|
| LBN Legal business name | Sampson, Ellen E |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Sep 26th, 2009 - about 15 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 | 1023022662 | NPPES |
| Massachusetts | MEDICAID | 0708020 |
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