Provider Demographics
NPI:1346217239
Name:SWEAT, STEVEN R (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:SWEAT
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 1:6155 26TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207-4404
Mailing Address - Country:US
Mailing Address - Phone:941-531-7477
Mailing Address - Fax:
Practice Address - Street 1:6155 26TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207
Practice Address - Country:US
Practice Address - Phone:941-753-1747
Practice Address - Fax:941-756-8744
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6598111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381283900Medicaid
FL42644Medicare UPIN
FL381283900Medicaid