Provider Demographics
NPI:1487034898
Name:STEVENS CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:STEVENS CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:ISABELLA
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC,
Authorized Official - Phone:609-638-6181
Mailing Address - Street 1:8 COURT HOUSE SOUTH DENNIS ROAD
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-3134
Mailing Address - Country:US
Mailing Address - Phone:609-463-4590
Mailing Address - Fax:609-463-4591
Practice Address - Street 1:8 COURT HOUSE SOUTH DENNIS RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1967
Practice Address - Country:US
Practice Address - Phone:609-463-4590
Practice Address - Fax:609-463-4591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00560300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty