Provider Demographics
NPI:1669012415
Name:SAMANTHA LEGER LLC
Entity Type:Organization
Organization Name:SAMANTHA LEGER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-641-8874
Mailing Address - Street 1:1780 S BELLAIRE ST STE 710
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4351
Mailing Address - Country:US
Mailing Address - Phone:303-300-0424
Mailing Address - Fax:303-300-0424
Practice Address - Street 1:1780 S BELLAIRE ST STE 710
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4351
Practice Address - Country:US
Practice Address - Phone:303-300-0424
Practice Address - Fax:303-300-0424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty