| Samantha Thelen, DC | |
|
525 State Route 35, Red Bank, NJ 07701-5037 | |
| (877) 532-7837 | |
| Not Available |
| Full Name | Samantha Thelen |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 2 Years |
| Location | 525 State Route 35, Red Bank, New Jersey |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982418828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00810800 (New Jersey) | Primary |
| Provider Name | Dolan Holdings LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477325694 PECOS PAC ID: 7214384296 Enrollment ID: O20231113002706 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Thelen, DC 1455 Broad St Ste 250, Bloomfield, NJ 07003-3066 Ph: (877) 532-7837 | Samantha Thelen, DC 525 State Route 35, Red Bank, NJ 07701-5037 Ph: (877) 532-7837 |
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