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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICAH Y SAMPSON

Active Sole Proprietor

MICAH Y SAMPSON is a Prosthetic/Orthotic Supplier healthcare provider located in CALUMET CITY, Illinois. NPI 1255057139 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · CALUMET CITY, IL

Registration Details

NPI Number
1255057139
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2022 (3.860580762184 yrs)
Last Updated
Oct 12, 2022
Sole Proprietor
Yes

Practice Information

Address
301 WEBB ST
CALUMET CITY, IL, 604094715
Browse IL providers · Browse ZIP 60409
Phone
3122049591
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.