Samper, Edward Ronald

Samper, Edward Ronald is an individual health care provider with primary practice located at 1666 E Bert Kouns Industrial Loop Suite 105, Shreveport LA 71105-5714. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Samper, Edward Ronald can be contacted via phone (318) 212-3520.

Contact Information

Primary practice address
1666 E Bert Kouns Industrial Loop Suite 105 Shreveport LA 71105-5714
Phone: (318) 212-3520
Fax: (318) 212-3525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 05522R Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 05522R Louisiana
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 0522R Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.05522R Louisiana

Profile Details

NPI number 1306875570
LBN Legal business name Samper, Edward Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Sep 16th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306875570 NPPES
Louisiana MEDICAID 1351741

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