Dr Shalom Samuel, DC - Chiropractor in Madison, WI

Dr Shalom Samuel, DC is a Chiropractor based in Madison, Wisconsin. Dr Shalom Samuel is licensed to practice in Wisconsin (license number 5352-12) and her current practice location is 2810 Crossroads Dr Ste 4000, Madison, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (608) 616-4606.

NPI number for Dr Shalom Samuel is 1063841807 and her current mailing address is 1059 Providence Cmn, Sun Prairie, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063841807.

Contact Information

Dr Shalom Samuel, DC
2810 Crossroads Dr Ste 4000,
Madison, WI 53718-8014
(608) 616-4606
Not Available



Healthcare Provider's Profile

Full NameDr Shalom Samuel
GenderFemale
SpecialityChiropractor
Location2810 Crossroads Dr Ste 4000, Madison, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063841807
  • Provider Enumeration Date: 11/02/2013
  • Last Update Date: 09/24/2021

Medical Identifiers

Medical identifiers for Dr Shalom Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063841807NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 8352 (Arizona)Secondary
111N00000XChiropractor 5352-12 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shalom Samuel is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shalom Samuel, DC
1059 Providence Cmn,
Sun Prairie, WI 53590-4586

Ph: (608) 886-8568
Dr Shalom Samuel, DC
2810 Crossroads Dr Ste 4000,
Madison, WI 53718-8014

Ph: (608) 616-4606

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› Verified 3 days ago


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