Provider Demographics
NPI:1376606525
Name:TOWNSEND, STEVEN A (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:TOWNSEND
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 1:8599 W GRAND RIVER
Mailing Address - Street 2:SUITE A
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-4334
Mailing Address - Country:US
Mailing Address - Phone:810-229-4095
Mailing Address - Fax:810-229-0768
Practice Address - Street 1:8599 W GRAND RIVER
Practice Address - Street 2:SUITE A
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-4334
Practice Address - Country:US
Practice Address - Phone:810-229-4095
Practice Address - Fax:810-229-0768
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI005462111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOD752051952Medicare ID - Type Unspecified
T33636Medicare UPIN