Hopper, Samuel P,
Hopper, Samuel P, is an individual health care provider with primary practice located at 1867 Crane Ridge Dr Ste 101B , Jackson MS 39216-4956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hopper, Samuel P, can be contacted via phone (601) 362-8776.Contact Information
Primary practice address
1867 Crane Ridge Dr Ste 101B
Jackson MS 39216-4956
Phone: (601) 362-8776
Fax: (601) 354-8786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 13057 | Alabama |
Profile Details
| NPI number | 1265543623 |
|---|---|
| LBN Legal business name | Hopper, Samuel P, |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 21st, 2017 - about 8 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 | 1265543623 | NPPES |
| Mississippi | MEDICAID | 0019066 |
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