Samson, Thomas J
Samson, Thomas J is an individual health care provider with primary practice located at 3119 N 14Th St , Bismarck ND 58503-0664. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Samson, Thomas J can be contacted via phone (701) 222-1393.Contact Information
Primary practice address
3119 N 14Th St
Bismarck ND 58503-0664
Phone: (701) 222-1393
Fax: (701) 222-8805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 471 | North Dakota |
Profile Details
| NPI number | 1639117625 |
|---|---|
| LBN Legal business name | Samson, Thomas J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Dec 15th, 2020 - about 4 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 | 1639117625 | NPPES |
| North Dakota | MEDICAID | 1455123 |
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