Sampson, Derek J
Sampson, Derek J is an sole proprietor health care provider with primary practice located at 101 Jackson St Fl 4 , Lowell MA 01852-2103. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Sampson, Derek J can be contacted via phone (978) 459-8656.Contact Information
Primary practice address
101 Jackson St Fl 4
Lowell MA 01852-2103
Phone: (978) 459-8656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1316658420 |
|---|---|
| LBN Legal business name | Sampson, Derek J |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2022 |
| Last updated | Dec 9th, 2022 - about 3 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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