Provider Demographics
NPI:1366009409
Name:HAMPTON, SAMUEL L II
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:L
Last Name:HAMPTON
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 EASTER AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-1565
Mailing Address - Country:US
Mailing Address - Phone:330-762-9139
Mailing Address - Fax:330-762-9130
Practice Address - Street 1:790 EASTER AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-1565
Practice Address - Country:US
Practice Address - Phone:440-836-4591
Practice Address - Fax:330-762-9130
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator