Provider Demographics
NPI:1790909315
Name:STEGE, JESSICA A (DC)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:A
Last Name:STEGE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:194 CLEVELAND ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MANISTEE
Mailing Address - State:MI
Mailing Address - Zip Code:49660-1296
Mailing Address - Country:US
Mailing Address - Phone:231-299-1015
Mailing Address - Fax:231-299-1019
Practice Address - Street 1:194 CLEVELAND ST
Practice Address - Street 2:SUITE A
Practice Address - City:MANISTEE
Practice Address - State:MI
Practice Address - Zip Code:49660-1296
Practice Address - Country:US
Practice Address - Phone:231-299-1015
Practice Address - Fax:231-299-1019
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI2301009198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor