Provider Demographics
NPI:1619478310
Name:SAMSEL INTEGRATIVE HEALTH LLC
Entity type:Organization
Organization Name:SAMSEL INTEGRATIVE HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMSEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-944-8424
Mailing Address - Street 1:305 CORPORATE DR E
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-8009
Mailing Address - Country:US
Mailing Address - Phone:215-944-8424
Mailing Address - Fax:
Practice Address - Street 1:305 CORPORATE DR E
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-8009
Practice Address - Country:US
Practice Address - Phone:215-944-8424
Practice Address - Fax:267-364-5286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty