Doctor Name: | SAMANTHA STAHL |
NPI Number: | 1386014983 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C |
License Number: | 08002849A |
Business Practice Address: | 5101 S Us Highway 41 Terre Haute, IN - 478024790 |
Business Phone Number: | 8122989800 |
Business Fax Number: | |
Mailing Address: | 2245 Rocky Hill Rd, SPENCER |
State: | IN |
Postal Code: | 474607112 |
Phone Number: | 8128211783 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2015 |
NPI Last Update Date: | 09/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 08002849A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy 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 interrelationship with other body systems. |