Samantha R Pederson in Roseville - Chiropractor

Samantha R Pederson - NPI 1437277126

Samantha R Pederson is a Chiropractor in Roseville, Minnesota. Samantha R Pederson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Samantha R Pederson is 1437277126. The last update date is 2015-05-04.

Samantha R Pederson's current location address is 2233 Hamline Ave N, Roseville, Minnesota. You can contact this provider via phone number 6513127679 and fax number 6516360247. The mailing address for Samantha R Pederson is 2233 Hamline Ave N, Roseville, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Samantha R Pederson
Address 2233 Hamline Ave N, Roseville, Minnesota
Phone Number 6513127679
Fax Number 6516360247
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1437277126
Provider Enumeration Date 2007-03-27
Last Updated Date 2015-05-04

Provider Mailing Address Detail

Address 2233 Hamline Ave N
City Roseville
State Minnesota (MN)
Post Code 55113
Phone Number 6513127679
Fax Number 6516360247

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 4194
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Samantha R Pederson

What is the Samantha R Pederson's 1437277126?

The Samantha R Pederson's NPI (National Provider Identifier) Number is 1437277126. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Samantha R Pederson is physically located?

The Samantha R Pederson is situated at the following address: 2233 Hamline Ave N, Roseville, MN 55113.

What is Samantha R Pederson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Samantha R Pederson's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

When did the Samantha R Pederson receive its 1437277126?

The Samantha R Pederson was issued its 1437277126 on 2007-03-27, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Samantha R Pederson most recently updated or revised?

The information pertaining to Samantha R Pederson, including its address, specialty, and other relevant details, was last updated or revised on 2015-05-04.

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