Provider Demographics
NPI:1881123594
Name:SAMS, MARGARET CATHERINE (CPD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:CATHERINE
Last Name:SAMS
Suffix:
Gender:F
Credentials:CPD
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:SAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPD
Mailing Address - Street 1:913 BETHEL MINE RD
Mailing Address - Street 2:
Mailing Address - City:CASEYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62232-2249
Mailing Address - Country:US
Mailing Address - Phone:618-593-6554
Mailing Address - Fax:
Practice Address - Street 1:1480 WOODSTONE DR STE 112
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-6872
Practice Address - Country:US
Practice Address - Phone:618-593-6554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-06
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty