Provider Demographics
NPI:1053466532
Name:REED, STEVEN DOUGLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DOUGLAS
Last Name:REED
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 1:707 FOX RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VAN WERT
Mailing Address - State:OH
Mailing Address - Zip Code:45891-2451
Mailing Address - Country:US
Mailing Address - Phone:419-238-2601
Mailing Address - Fax:419-238-2601
Practice Address - Street 1:707 FOX RD
Practice Address - Street 2:SUITE 100
Practice Address - City:VAN WERT
Practice Address - State:OH
Practice Address - Zip Code:45891-2451
Practice Address - Country:US
Practice Address - Phone:419-238-2601
Practice Address - Fax:419-238-2601
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3276111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRE4101421Medicare ID - Type UnspecifiedMEICARE ID NUMBER