Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS JACK SAMPSON
ActiveTHOMAS JACK SAMPSON is a Nutritionist healthcare provider located in MENOMONIE, Wisconsin. NPI 1861019804 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · MENOMONIE, WI
Registration Details
- NPI Number
- 1861019804
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2020 (6.1626095429662 yrs)
- Last Updated
- Jun 25, 2020
- License
-
1124661
Practice Information
- Address
-
2021 BROADWAY ST SMENOMONIE, WI, 547513950Browse WI providers · Browse ZIP 54751
- Phone
- 7153083837
- Primary Specialty
-
Nutritionist
133N00000X
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.