Sampson, Gregg Orville
Sampson, Gregg Orville is an sole proprietor health care provider with primary practice located at 1015 Ne Hostmark St Suite #101, Poulsbo WA 98370-6204. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sampson, Gregg Orville can be contacted via phone (360) 697-7726.Contact Information
Primary practice address
1015 Ne Hostmark St Suite #101
Poulsbo WA 98370-6204
Phone: (360) 697-7726
Fax: (360) 697-7728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00002874 | Washington |
Profile Details
| NPI number | 1497830426 |
|---|---|
| LBN Legal business name | Sampson, Gregg Orville |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1497830426 | NPPES |
| Washington | Other | 91181639721 | KPS |
| Washington | Other | 9187607 | KPS |
| Washington | MEDICAID | 8345118 | KPS |
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