Sampson, Mitzi Jean
Sampson, Mitzi Jean is an sole proprietor health care provider with primary practice located at 211 Park Hill Dr Ste B , Fredericksburg VA 22401-3361. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sampson, Mitzi Jean can be contacted via phone (540) 370-4370.Contact Information
Primary practice address
211 Park Hill Dr Ste B
Fredericksburg VA 22401-3361
Phone: (540) 370-4370
Fax: (540) 370-4331
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101047353 | Virginia |
Profile Details
NPI number | 1548256472 |
---|---|
LBN Legal business name | Sampson, Mitzi Jean |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 26th, 2005 |
Last updated | Mar 29th, 2021 - about 4 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 | 1548256472 | NPPES |
Virginia | Other | 1669794921 | NPI CORPORATE |
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