Individual
SAMANTHA STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
1995 E MAIN ST, DANVILLE, IN 46122-9128
(317) 745-5100
(317) 745-1267
Mailing address
1995 E MAIN ST, DANVILLE, IN 46122-9128
(317) 745-5100
(317) 745-1267
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002849A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201337620
—
IN
Enumeration date
09/25/2015
Last updated
04/27/2017
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