Staggers, Samuel Richard
Staggers, Samuel Richard is an individual health care provider with primary practice located at 15748 Medical Arts Dr , Hammond LA 70403-1446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Staggers, Samuel Richard can be contacted via phone (985) 542-0663.Contact Information
Primary practice address
15748 Medical Arts Dr
Hammond LA 70403-1446
Phone: (985) 542-0663
Fax: (985) 542-7010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | L#011678 | Louisiana |
Profile Details
| NPI number | 1104829613 |
|---|---|
| LBN Legal business name | Staggers, Samuel Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2005 |
| Last updated | Jul 22nd, 2008 - about 16 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 | 1104829613 | NPPES |
| Louisiana | MEDICAID | 1188158 |
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