Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Joy Itchon, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629727011

Samantha Joy Itchon, DO is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

22201 Moross Rd Ste 50
Detroit, MI 48236-2166
Phone: (313) 343-7774
Fax: (313) 343-8747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1629727011
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 22, 2022
Last updated in NPPESSeptember 11, 2025
Certification dateJuly 14, 2025

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