Provider Demographics
NPI:1235593088
Name:FINNERAN, SAMSON MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:SAMSON
Middle Name:MICHAEL
Last Name:FINNERAN
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 1:4904 WATERS EDGE DR
Mailing Address - Street 2:SUITE 160
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-2484
Mailing Address - Country:US
Mailing Address - Phone:702-556-6293
Mailing Address - Fax:
Practice Address - Street 1:4904 WATERS EDGE DR
Practice Address - Street 2:SUITE 160
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-2484
Practice Address - Country:US
Practice Address - Phone:702-556-6293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4619111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor