Samson, Henry B
Samson, Henry B is an sole proprietor health care provider with primary practice located at 100 York St Suite 2K, New Haven CT 06511-5664. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Samson, Henry B can be contacted via phone (203) 624-3896.Contact Information
Primary practice address
100 York St Suite 2K
New Haven CT 06511-5664
Phone: (203) 624-3896
Fax: (203) 777-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 769 | Connecticut |
Profile Details
| NPI number | 1831107994 |
|---|---|
| LBN Legal business name | Samson, Henry B |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Nov 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831107994 | NPPES |
| Connecticut | Other | 22-04198 | UNITED HEALTHCARE |
| Connecticut | Other | OVO398 | UNITED HEALTHCARE |
| Connecticut | MEDICAID | 004024253 | UNITED HEALTHCARE |
| Connecticut | Other | 006518 | UNITED HEALTHCARE |
| Connecticut | Other | 4143570-002 | UNITED HEALTHCARE |
| Connecticut | Other | 090000769CT03 | UNITED HEALTHCARE |
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