Provider Demographics
NPI:1346331964
Name:ABERCROMBIE, STEVE (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:ABERCROMBIE
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 1:38069 MARTHA AVE
Mailing Address - Street 2:#200
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-3811
Mailing Address - Country:US
Mailing Address - Phone:510-505-0505
Mailing Address - Fax:510-792-0802
Practice Address - Street 1:38069 MARTHA AVE
Practice Address - Street 2:#200
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-3811
Practice Address - Country:US
Practice Address - Phone:510-505-0505
Practice Address - Fax:510-792-0802
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 28299111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0282990Medicare PIN