Provider Demographics
NPI:1053375162
Name:GRABER, SAMANTHA (DC)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:
Last Name:GRABER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:
Other - Last Name:BEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 1293
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36536-1293
Mailing Address - Country:US
Mailing Address - Phone:251-952-5555
Mailing Address - Fax:888-884-7936
Practice Address - Street 1:117 W ORANGE AVE
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-1948
Practice Address - Country:US
Practice Address - Phone:251-952-5555
Practice Address - Fax:888-884-7936
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2246111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor