Clevenger, Samantha Dee
Clevenger, Samantha Dee is an individual health care provider with primary practice located at 2411 Pacific Ave Se Fl 1 , Olympia WA 98501-2048. She recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as her primary health care specialty. Clevenger, Samantha Dee can be contacted via phone (800) 404-6050.Contact Information
Primary practice address
2411 Pacific Ave Se Fl 1
Olympia WA 98501-2048
Phone: (800) 404-6050
Fax: (866) 313-3397
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Rehabilitation | 111NR0400X | CH60924395 | Washington |
Profile Details
NPI number | 1104154285 |
---|---|
LBN Legal business name | Clevenger, Samantha Dee |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2009 |
Last updated | Apr 8th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104154285 | NPPES |
Washington | Other | CH60924395 | CHIROPRACTIC LICENSE |
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