Individual
DR. SAMANTHA MARIE BECKWITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
109 S LINCOLN AVE, NILES, MI 49120-2917
(269) 684-7822
(269) 684-7088
Mailing address
109 S LINCOLN AVE, NILES, MI 49120-2917
(269) 684-7288
(269) 684-7022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010933
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301010933
STATE LICENSE
MI
Enumeration date
03/13/2020
Last updated
09/28/2023
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