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
Fax: (662) 234-4016
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912978255 NPPES
Arkansas MEDICAID 148606001
Arkansas Other 5M582

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