Pederson, Samantha R

Pederson, Samantha R is an sole proprietor health care provider with primary practice located at 2233 Hamlne Ave N Suite 101, Roseville MN 55113. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Pederson, Samantha R can be contacted via phone (651) 312-7679.

Contact Information

Primary practice address
2233 Hamlne Ave N Suite 101 Roseville MN 55113
Phone: (651) 312-7679
Fax: (651) 636-0247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4194 Minnesota

Profile Details

NPI number 1437277126
LBN Legal business name Pederson, Samantha R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated May 4th, 2015 - about 9 years 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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