Samson, Charles Michael

Samson, Charles Michael is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Gastro, Hepatology And Nutrition, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Samson, Charles Michael can be contacted via phone (314) 454-6173.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Gastro, Hepatology And Nutrition Saint Louis MO 63110-1002
Phone: (314) 454-6173
Fax: (844) 231-8912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2011019875 Missouri
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 2011019875 Missouri

Profile Details

NPI number 1194932301
LBN Legal business name Samson, Charles Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Apr 25th, 2024 - about 5 months 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 1194932301 NPPES
Missouri MEDICAID 204405104

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