Samson, Henry B

Samson, Henry B is an sole proprietor health care provider with primary practice located at 100 York St Suite 2K, New Haven CT 06511-5664. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Samson, Henry B can be contacted via phone (203) 624-3896.

Contact Information

Primary practice address
100 York St Suite 2K New Haven CT 06511-5664
Fax: (203) 777-2020
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 769 Connecticut

Profile Details

NPI number 1831107994
LBN Legal business name Samson, Henry B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Nov 19th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831107994 NPPES
Connecticut Other 22-04198 UNITED HEALTHCARE
Connecticut Other OVO398 UNITED HEALTHCARE
Connecticut MEDICAID 004024253 UNITED HEALTHCARE
Connecticut Other 006518 UNITED HEALTHCARE
Connecticut Other 4143570-002 UNITED HEALTHCARE
Connecticut Other 090000769CT03 UNITED HEALTHCARE

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