Provider Demographics
NPI:1952325201
Name:STEWART, JOSEPH D (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:D
Last Name:STEWART
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 1:5514 CAMINO AL NORTE
Mailing Address - Street 2:SUITE A-2
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031
Mailing Address - Country:US
Mailing Address - Phone:702-531-3400
Mailing Address - Fax:702-531-3404
Practice Address - Street 1:5514 CAMINO AL NORTE
Practice Address - Street 2:SUITE A-2
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031
Practice Address - Country:US
Practice Address - Phone:702-531-3400
Practice Address - Fax:702-531-3404
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01019111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor