Provider Demographics
NPI:1609177542
Name:SAMSON FAMILY CHIROPRACTIC & WELLNESS PC
Entity Type:Organization
Organization Name:SAMSON FAMILY CHIROPRACTIC & WELLNESS PC
Other - Org Name:HORIZON FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-837-9355
Mailing Address - Street 1:1400 37TH AVE SW STE C
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-7342
Mailing Address - Country:US
Mailing Address - Phone:701-837-9355
Mailing Address - Fax:701-837-0243
Practice Address - Street 1:1400 37TH AVE SW STE C
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-7342
Practice Address - Country:US
Practice Address - Phone:701-837-9355
Practice Address - Fax:701-837-0243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty