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
Fax: (866) 313-3397
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104154285 NPPES
Washington Other CH60924395 CHIROPRACTIC LICENSE

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