Sample, Scott A.
Sample, Scott A. is an individual health care provider with primary practice located at 1001 Newman Rd , New Bern NC 28562-5253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Sample, Scott A. can be contacted via phone (252) 635-6777.Contact Information
Primary practice address
1001 Newman Rd
New Bern NC 28562-5253
Phone: (252) 635-6777
Fax: (252) 634-3183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MED-PHYS-LIC-10527 | Montana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 2020-00954 | North Carolina |
Profile Details
| NPI number | 1558444216 |
|---|---|
| LBN Legal business name | Sample, Scott A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Apr 2nd, 2020 - about 5 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 | 1558444216 | NPPES |
| Montana | Other | 0072607 | MDCD PIN |
| Montana | Other | 000096785 | MDCD PIN |
| Montana | Other | 119419400 | MDCD PIN |
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