Staggers, Samuel Richard

Staggers, Samuel Richard is an individual health care provider with primary practice located at 15748 Medical Arts Dr , Hammond LA 70403-1446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Staggers, Samuel Richard can be contacted via phone (985) 542-0663.

Contact Information

Primary practice address
15748 Medical Arts Dr Hammond LA 70403-1446
Phone: (985) 542-0663
Fax: (985) 542-7010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X L#011678 Louisiana

Profile Details

NPI number 1104829613
LBN Legal business name Staggers, Samuel Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2005
Last updated Jul 22nd, 2008 - about 18 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 1104829613 NPPES
Louisiana MEDICAID 1188158

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