Provider Demographics
NPI:1346496429
Name:CROTZER, STEVEN MILBURN (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MILBURN
Last Name:CROTZER
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 1:126 HARRISON ST
Mailing Address - Street 2:# B
Mailing Address - City:EVANS CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16033-1101
Mailing Address - Country:US
Mailing Address - Phone:724-996-1772
Mailing Address - Fax:
Practice Address - Street 1:320 E MAIN ST REAR
Practice Address - Street 2:
Practice Address - City:EVANS CITY
Practice Address - State:PA
Practice Address - Zip Code:16033-1262
Practice Address - Country:US
Practice Address - Phone:724-996-1771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009967111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor