1487034898 NPI number — STEVENS CHIROPRACTIC, LLC

Table of content: (NPI 1487034898)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487034898 NPI number — STEVENS CHIROPRACTIC, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STEVENS CHIROPRACTIC, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487034898
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/27/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 COURT HOUSE SOUTH DENNIS ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAPE MAY COURT HOUSE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08210-3134
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-463-4590
Provider Business Mailing Address Fax Number:
609-463-4591

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 COURT HOUSE SOUTH DENNIS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAPE MAY COURT HOUSE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08210-1967
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-463-4590
Provider Business Practice Location Address Fax Number:
609-463-4591
Provider Enumeration Date:
06/02/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
STEVENS
Authorized Official First Name:
SHEILA
Authorized Official Middle Name:
ISABELLA
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
609-638-6181

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  38MC00560300 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)