Provider Demographics
NPI:1003989468
Name:SILVERSTON, STEVEN LOUIS (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LOUIS
Last Name:SILVERSTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8492 BALTIMORE NATIONAL PIKE
Mailing Address - Street 2:STE 105
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043
Mailing Address - Country:US
Mailing Address - Phone:410-461-3435
Mailing Address - Fax:410-461-3438
Practice Address - Street 1:8492 BALTIMORE NATIONAL PIKE
Practice Address - Street 2:STE 105
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043
Practice Address - Country:US
Practice Address - Phone:410-461-3435
Practice Address - Fax:410-461-3438
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1585PT111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM037Medicare PIN
U47787Medicare UPIN