Provider Demographics
NPI:1972825859
Name:STEVENS, SHEILA ISABELLA (DC)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:ISABELLA
Last Name:STEVENS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1058 ROUTE 47 S
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:NJ
Mailing Address - Zip Code:08242-1506
Mailing Address - Country:US
Mailing Address - Phone:609-463-4590
Mailing Address - Fax:609-463-4591
Practice Address - Street 1:211 S MAIN ST STE 302
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2264
Practice Address - Country:US
Practice Address - Phone:609-463-4590
Practice Address - Fax:609-463-4591
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC3800560300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor