Provider Demographics
NPI:1952682494
Name:ALECKSON, STEVE R (DC)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:R
Last Name:ALECKSON
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:PO BOX 625
Mailing Address - Street 2:
Mailing Address - City:OSSEO
Mailing Address - State:WI
Mailing Address - Zip Code:54758-0625
Mailing Address - Country:US
Mailing Address - Phone:715-597-3388
Mailing Address - Fax:847-401-7566
Practice Address - Street 1:13818 7TH ST
Practice Address - Street 2:
Practice Address - City:OSSEO
Practice Address - State:WI
Practice Address - Zip Code:54758-7402
Practice Address - Country:US
Practice Address - Phone:715-597-3388
Practice Address - Fax:847-401-7566
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-29
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4767-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor