Sampson, Paul Gregory
Sampson, Paul Gregory is an individual health care provider with primary practice located at 5012 S Bur Oak Pl , Sioux Falls SD 57108-2228. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sampson, Paul Gregory can be contacted via phone (605) 361-1680.Contact Information
Primary practice address
5012 S Bur Oak Pl
Sioux Falls SD 57108-2228
Phone: (605) 361-1680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T-155 | South Dakota |
Profile Details
| NPI number | 1336109289 |
|---|---|
| LBN Legal business name | Sampson, Paul Gregory |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Mar 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 | 1336109289 | NPPES |
| South Dakota | MEDICAID | 9202392 |
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