Provider Demographics
NPI:1174265292
Name:HAMAN, SAMUEL GEORGE (DC)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:GEORGE
Last Name:HAMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5962 STETSON HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-3579
Mailing Address - Country:US
Mailing Address - Phone:719-596-8700
Mailing Address - Fax:719-596-8704
Practice Address - Street 1:5962 STETSON HILLS BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-3579
Practice Address - Country:US
Practice Address - Phone:719-596-8700
Practice Address - Fax:719-596-8704
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-09
Last Update Date:2022-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR-008522111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty