Provider Demographics
NPI:1942324264
Name:NOBLE, STEVEN BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BRIAN
Last Name:NOBLE
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 1:119 GRAND AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4400
Mailing Address - Country:US
Mailing Address - Phone:360-671-7067
Mailing Address - Fax:360-933-4045
Practice Address - Street 1:119 GRAND AVE
Practice Address - Street 2:SUITE C
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4400
Practice Address - Country:US
Practice Address - Phone:360-671-7067
Practice Address - Fax:360-933-4045
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034641111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA205522059OtherTAX ID