Provider Demographics
NPI:1285859322
Name:CONWAY, STEVEN R (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:CONWAY
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 1:936 COUNTY ROAD A
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:WI
Mailing Address - Zip Code:54411-8726
Mailing Address - Country:US
Mailing Address - Phone:715-257-1864
Mailing Address - Fax:715-257-1864
Practice Address - Street 1:936 COUNTY ROAD A
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:WI
Practice Address - Zip Code:54411-8726
Practice Address - Country:US
Practice Address - Phone:715-257-1864
Practice Address - Fax:715-257-1864
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1863111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor