Provider Demographics
NPI:1568200301
Name:FINBERG, SAMANTHA (DC)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:
Last Name:FINBERG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29185 KENWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:CHISAGO CITY
Mailing Address - State:MN
Mailing Address - Zip Code:55013-7528
Mailing Address - Country:US
Mailing Address - Phone:651-788-3468
Mailing Address - Fax:
Practice Address - Street 1:511 2ND ST STE 14
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-1532
Practice Address - Country:US
Practice Address - Phone:715-808-0393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6199-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor