Provider Demographics
NPI:1609913912
Name:JOSEPH, STEVEN JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAMES
Last Name:JOSEPH
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 1:2144 N. MAIN ST.
Mailing Address - Street 2:UNIT 3
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-1407
Mailing Address - Country:US
Mailing Address - Phone:303-678-7170
Mailing Address - Fax:
Practice Address - Street 1:2144 N. MAIN ST.
Practice Address - Street 2:UNIT 3
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-1407
Practice Address - Country:US
Practice Address - Phone:303-678-7170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor