Sams, Joseph O
Sams, Joseph O is an individual health care provider with primary practice located at 1204 Medical Park Dr , Oxford MS 38655-5326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Sams, Joseph O can be contacted via phone (662) 236-5717.Contact Information
Primary practice address
1204 Medical Park Dr
Oxford MS 38655-5326
Phone: (662) 236-5717
Fax: (662) 234-4016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 17613 | Mississippi |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | E3732 | Arkansas |
Profile Details
| NPI number | 1912978255 |
|---|---|
| LBN Legal business name | Sams, Joseph O |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Dec 19th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912978255 | NPPES |
| Arkansas | MEDICAID | 148606001 | |
| Arkansas | Other | 5M582 |
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