Individual
JOHN WAYNE SAMUELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1626
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230743
CHIROCARE
MN
01
—
69716SA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/25/2006
Last updated
07/09/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up