Sampson, Richard Paul

Sampson, Richard Paul is an individual health care provider with primary practice located at 1504 N Main St , Meridian ID 83642-1707. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is his primary health care specialty. Sampson, Richard Paul can be contacted via phone (208) 888-2267.

Contact Information

Primary practice address
1504 N Main St Meridian ID 83642-1707
Phone: (208) 888-2267
Fax: (208) 288-0260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA 470 Idaho
Other Service Providers / Acupuncturist 171100000X ACC-57 Idaho

Profile Details

NPI number 1174517858
LBN Legal business name Sampson, Richard Paul
Credentials R.N.,D.C.,F.I.A.M.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jun 28th, 2010 - about 16 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 1174517858 NPPES
Idaho Other 000010007712 BLUE SHIELD
Idaho MEDICAID 001618100 BLUE SHIELD
Idaho Other C470-2 BLUE SHIELD

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