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Contact Information

DEBRA C SAMS DO
122 MAPLEWOOD AVENUE
RONCEVERTE, WV24970
 Phone: 304-645-4406
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DEBRA C SAMS DO

NPI Number 1073700837
LBN Legal business name DEBRA C SAMS DO
Authorized official DEBRA CRITES-SAMS - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2007
Last updated 11/27/2007 - About 19 years ago
Identifiers
WV License # E35409
WV Medicaid 3810010441
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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