Sampson, Jerome M

Sampson, Jerome M is an individual health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sampson, Jerome M can be contacted via phone (701) 364-8000.

Contact Information

Primary practice address
3000 32Nd Ave S Fargo ND 58103-6132
Phone: (701) 364-8000
Fax: (701) 364-8078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 4703 North Dakota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4703 North Dakota
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 4703 North Dakota

Profile Details

NPI number 1487681599
LBN Legal business name Sampson, Jerome M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 18th, 2012 - about 14 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 1487681599 NPPES
North Dakota Other 1600852 MEDICA FGO #
North Dakota MEDICAID 14146 MEDICA FGO #
North Dakota Other 9258 MEDICA FGO #
North Dakota Other DA9011015581 MEDICA FGO #
North Dakota Other HP25764 MEDICA FGO #
North Dakota MEDICAID 634208600 MEDICA FGO #
North Dakota Other 676650 MEDICA FGO #
North Dakota Other 974 MEDICA FGO #
North Dakota Other 1600853 MEDICA FGO #
North Dakota Other 91427SA MEDICA FGO #

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