Samson, Shoji Olivo

Samson, Shoji Olivo is an sole proprietor health care provider with primary practice located at 530 Ns Glen Oak Avenue , Peoria IL 61637-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Samson, Shoji Olivo can be contacted via phone (309) 624-2896.

Contact Information

Primary practice address
530 Ns Glen Oak Avenue Peoria IL 61637-0001
Phone: (309) 624-2896
Fax: (309) 655-2974
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X S0375 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DO-05910 Iowa
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 288816 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036152483 Illinois
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X DO-05910 Iowa
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 288816 New York
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X S0375 Texas
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036152483 Illinois

Profile Details

NPI number 1831504067
LBN Legal business name Samson, Shoji Olivo
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2014
Last updated Jan 4th, 2022 - about 2 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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