Provider Demographics
NPI:1659793701
Name:STONEBRAKER, STEVEN SEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:SEAN
Last Name:STONEBRAKER
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 1:13206 COTTNER ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-1777
Mailing Address - Country:US
Mailing Address - Phone:402-896-2496
Mailing Address - Fax:402-896-2497
Practice Address - Street 1:13206 COTTNER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1777
Practice Address - Country:US
Practice Address - Phone:402-896-2496
Practice Address - Fax:402-896-2497
Is Sole Proprietor?:No
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1783111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor