Samson, Russell Howard
Samson, Russell Howard is an individual health care provider with primary practice located at 600 N Cattlemen Rd Suite 220, Sarasota FL 34232-6410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Samson, Russell Howard can be contacted via phone (941) 371-6565.Contact Information
Primary practice address
600 N Cattlemen Rd Suite 220
Sarasota FL 34232-6410
Phone: (941) 371-6565
Fax: (941) 377-7731
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME49137 | Florida |
Profile Details
NPI number | 1205837416 |
---|---|
LBN Legal business name | Samson, Russell Howard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2005 |
Last updated | Jun 18th, 2015 - about 9 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 | 1205837416 | NPPES |
Florida | MEDICAID | 063462000 | |
Florida | Other | 770002753 | |
Florida | Other | 01494 | |
Florida | Other | 650501582 |
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