Sams, Matthew Duane

Sams, Matthew Duane is an individual health care provider with primary practice located at 225 Violyn Dr , Branson MO 65616-8128. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sams, Matthew Duane can be contacted via phone (417) 334-6660.

Contact Information

Primary practice address
225 Violyn Dr Branson MO 65616-8128
Fax: (417) 334-6661
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 006810 Missouri

Profile Details

NPI number 1457434367
LBN Legal business name Sams, Matthew Duane
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated May 21st, 2020 - about 6 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 1457434367 NPPES
Missouri Other 128937 BLUE CROSS BLUE SHIELD
Missouri MEDICAID 230074281 BLUE CROSS BLUE SHIELD
Missouri Other 350056657 BLUE CROSS BLUE SHIELD

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