Provider Demographics
NPI:1689486987
Name:ZWIRNER, SAMANTHA (DC)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:ZWIRNER
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:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:ND
Mailing Address - Zip Code:58466-0115
Mailing Address - Country:US
Mailing Address - Phone:701-660-3033
Mailing Address - Fax:701-660-3034
Practice Address - Street 1:1107 N UNIVERSITY DR STE 180
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-4922
Practice Address - Country:US
Practice Address - Phone:701-394-0700
Practice Address - Fax:701-660-3034
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1219111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor