Sharon Leslie Samson in Lake St Louis - Chiropractor
Sharon Leslie Samson - NPI 1508817602
Sharon Leslie Samson is a Chiropractor in Lake St Louis, Missouri. Sharon Leslie Samson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Sharon Leslie Samson is 1508817602. The last update date is 2012-09-27.
Sharon Leslie Samson's current location address is 50 Centre On The Lake, Lake St Louis, Missouri. You can contact this provider via phone number 6366254448 and fax number 6366254449. The mailing address for Sharon Leslie Samson is 50 Centre On The Lake, Lake St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sharon Leslie Samson |
|---|---|
| Address | 50 Centre On The Lake, Lake St Louis, Missouri |
| Phone Number | 6366254448 |
| Fax Number | 6366254449 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1508817602 |
|---|---|
| Provider Enumeration Date | 2006-05-13 |
| Last Updated Date | 2012-09-27 |
Provider Mailing Address Detail
| Address | 50 Centre On The Lake |
|---|---|
| City | Lake St Louis |
| State | Missouri (MO) |
| Post Code | 63367 |
| Phone Number | 6366254448 |
| Fax Number | 6366254449 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2004024905 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25141 | GHP | ||
| 192065 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Sharon Leslie Samson by the Centers for Medicare & Medicaid Services?
The Sharon Leslie Samson has been assigned the NPI (National Provider Identifier) 1508817602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Sharon Leslie Samson is physically located?
The Sharon Leslie Samson is physically situated at the following address: 50 Centre On The Lake, Lake St Louis, MO, 63367.
What is the Sharon Leslie Samson's specialty and taxonomy code?
The Sharon Leslie Samson's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
When did the Sharon Leslie Samson receive its 1508817602?
The Sharon Leslie Samson was issued its 1508817602 on 2006-05-13, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Sharon Leslie Samson most recently updated or revised?
The details related to Sharon Leslie Samson, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-27.
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