Provider Demographics
NPI:1053646729
Name:STEEVENSZ, JASON (DC)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:STEEVENSZ
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 1:114 WATER ST
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3007
Mailing Address - Country:US
Mailing Address - Phone:508-478-2008
Mailing Address - Fax:508-478-0922
Practice Address - Street 1:114 WATER ST
Practice Address - Street 2:BUILDING 2
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3007
Practice Address - Country:US
Practice Address - Phone:508-478-2008
Practice Address - Fax:508-478-0922
Is Sole Proprietor?:No
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA03251111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor